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Individual

DANIEL DALEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
2342 ODELL, CASPER, WY 82604
(307) 277-4068
Mailing address
2342 O DELL, CASPER, WY 82604
(307) 277-4068

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
04/20/2015
Last updated
04/20/2015
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