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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JALYN GORMAN

Active

JALYN GORMAN is a Athletic Trainer healthcare provider located in FORT DEFIANCE, Arizona. NPI 1972072452 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · FORT DEFIANCE, AZ

Registration Details

NPI Number
1972072452
Provider Type
Individual
Gender
Male
NPI Issued
Nov 14, 2018 (7.7819566307826 yrs)
Last Updated
Nov 30, 2020
License
ATR-009263 (AZ)

Practice Information

Address
#1 ASPEN DRIVE
FORT DEFIANCE, AZ, 86504
Browse AZ providers · Browse ZIP 86504
Phone
9287292290
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in FORT DEFIANCE, AZ

Name Credential NPI
MURIEL TSOSIE 1750734182
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.