JOHN JEFFREY LARSON

MILWAUKEE, WI
NPI1487606679
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  205-039)
Enumeration Date2006-05-16
Last Update Date2007-07-08
Business Address
Mr. JOHN JEFFREY LARSON LAT, ATC,CSCS
6701 N JEAN NICOLET RD
MILWAUKEE, WI 53217-3701
Phone number: 414-351-8154
Mailing Address
Mr. JOHN JEFFREY LARSON LAT, ATC,CSCS
108 W FRANSEE LN
SAUKVILLE, WI 53080-1714
Phone number: 262-268-9869
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