KONNOR GERALD KINGSMORE

MENOMONEE FALLS, WI
NPI1295551240
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  3219-39)
Enumeration Date2024-11-25
Last Update Date2024-11-25
Business Address
KONNOR GERALD KINGSMORE LAT, ATC
N91W15750 FALLS PKWY
MENOMONEE FALLS, WI 53051-2301
Phone number: 262-532-1100
Mailing Address
KONNOR GERALD KINGSMORE LAT, ATC
W64N14273 WASHINGTON AVE APT 129
CEDARBURG, WI 53012-3035
Phone number: 719-510-5126
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