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LAT, ATC, USAT

Athletic Trainer

NPI: 1417625757Individual

Specialties, Licenses & Credentials

Athletic TrainerPrimary

Specialist/Technologist — Athletic Trainer

Code: 2255A2300X

1852-39(WI)

Contact & Hours

Address: 12800 N LAKE SHORE DR
MEQUON, WI 53097
Phone: (262) 243-2682

Quick Facts

NPI: 1417625757
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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