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Individual

MRS. ALLISON MARY MOURS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-2600
(262) 434-2601
Mailing address
N22W28866 OAK LN, PEWAUKEE, WI 53072-5050
(262) 434-2600
(262) 434-2601

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
827-39
WI

Other

Enumeration date
04/03/2012
Last updated
04/03/2012
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