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Individual

JESSICA LYN HENMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6375 W RIVERSIDE TER, CASPER, WY 82604-9207
(307) 554-0146
Mailing address
6375 W RIVERSIDE TER, CASPER, WY 82604-9207
(307) 554-0146

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
12/02/2025
Last updated
12/02/2025
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