IKURI OGATA

MILWAUKEE, WI
NPI1609394170
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  1753)
Enumeration Date2017-09-06
Last Update Date2022-07-21
Business Address
Mr. IKURI OGATA ATC
1532 W CLYBOURN ST
MILWAUKEE, WI 53233-2202
Phone number: 414-248-3060
Mailing Address
Mr. IKURI OGATA ATC
1532 W CLYBOURN ST
MILWAUKEE, WI 53233-2202
Phone number: 414-248-3060
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