PATRICK ST LOUIS

MEQUON, WI
NPI1316336035
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  1256-39)
Enumeration Date2015-01-19
Last Update Date2015-01-19
Business Address
-- PATRICK ST LOUIS ATC, LAT
12800 N LAKE SHORE DR
MEQUON, WI 53097-2418
Phone number: 262-243-4320
Mailing Address
-- PATRICK ST LOUIS ATC, LAT
12800 N LAKE SHORE DR
MEQUON, WI 53097-2418
Phone number: 262-243-4320
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