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David James O'Loughlin

Specialist/Technologist, Athletic Trainer in Kenosha, WI. Individual provider (NPI-1).

NPI number1184088742
StatusActive
Last updated in NPPESJun 1, 2016

Details

NPI
1184088742
Entity type
Individual (NPI-1)
Name
David James O'Loughlin
Sex
Male
Sole proprietor
No
Enumeration date
Apr 11, 2016
Last updated
Jun 1, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

9436 69th St
Kenosha, WI 53142-8111

Phone 262-945-5574

Mailing address

9436 69th St
Kenosha, WI 53142-8111

Phone 262-945-5574

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