Individual
MICHAEL J O'LAREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
MSC 3FAC NEW MEXICO STATE UNIVERSITY, P P BOX 30001, LAS CRUCES, NM 88003-8001
(505) 646-1526
(505) 646-3435
Mailing address
3823 LAMANITE CT, LAS CRUCES, NM 88012-7919
(505) 646-1526
(505) 646-3435
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
53
NM
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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