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1184088742
DAVID JAMES O'LOUGHLIN
KENOSHA, WI
NPI
1184088742
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2016-04-11
Last Update Date
2016-06-01
Business Address
-- DAVID JAMES O'LOUGHLIN
9436 69TH ST
KENOSHA, WI 53142-8111
Phone number: 262-945-5574
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Mailing Address
-- DAVID JAMES O'LOUGHLIN
9436 69TH ST
KENOSHA, WI 53142-8111
Phone number: 262-945-5574
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