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Individual

JENNIFER LOOSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
330 W COLLINS DR, CASPER, WY 82601-2450
(307) 237-2050
(307) 234-3056
Mailing address
330 W COLLINS DR, CASPER, WY 82601-2450
(307) 237-2050
(307) 234-3056

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
544
WY

Other

Enumeration date
10/29/2006
Last updated
07/08/2007
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