DAVID J DOMINGUESE

WAUKESHA, WI
NPI1508820010
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  615-039)
Enumeration Date2006-04-12
Last Update Date2007-07-08
Business Address
-- DAVID J DOMINGUESE MS, ATC, CSCS
1111 DELAFIELD ST SUITE 120
WAUKESHA, WI 53188-3417
Phone number: 262-521-9762
Mailing Address
-- DAVID J DOMINGUESE MS, ATC, CSCS
1711 ELDER ST APT. 103
WAUKESHA, WI 53188-3271
Phone number:
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