Individual
JARAN DEFRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
512 LAIRD ST, WINONA, MN 55987-4034
(507) 313-8897
Mailing address
512 LAIRD ST, WINONA, MN 55987-4034
(507) 313-8897
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/16/2017
Last updated
08/27/2019
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