Individual
JARA LYNN SOOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
410 TONK CT, GILLETTE, WY 82718-5331
(307) 689-4982
Mailing address
410 TONK CT, GILLETTE, WY 82718-5331
(307) 689-4982
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
32
WY
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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