Individual
JOLYNN LEISINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4935 OLD POST RD, 68, OGDEN, UT 84403-4360
(307) 699-0714
Mailing address
PO BOX 1362, 670 EAST HALL AVE, JACKSON, WY 83001-1362
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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