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CAMMIE DAWN BROST ATC, LAT

Individual Provider (NPI-1) Active

Specialist/Technologist, Athletic Trainer

Provider Information

NPI Number
1740048099
Provider Type
Individual Provider (NPI-1)
Credentials
ATC, LAT
Status
Active

Contact & Location

Address
777 AVENUE H BLDG C, POWELL, WY, 824352260
Phone
(307) 754-7704

Specialties & Taxonomies

Specialist/Technologist, Athletic Trainer Primary License: WY #050

All Addresses

MAILING

1021 ROAD 9

LOVELL, WY, 824319617

LOCATION

777 AVENUE H BLDG C

POWELL, WY, 824352260

(307) 754-7704