Individual
JAKE M GAGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
600 PARK ST, HAYS, KS 67601-4009
(785) 628-4376
Mailing address
1 WOOSTER PL, APT. A5, HAYS, KS 67601-4006
(207) 710-4231
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2401434
KS
Other
Enumeration date
09/15/2019
Last updated
09/15/2019
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