Individual
SAMUEL O'LEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6216 119TH AVE E, PUYALLUP, WA 98372-2825
(253) 722-4015
Mailing address
6216 119TH AVE E, PUYALLUP, WA 98372-2825
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/29/2014
Last updated
06/29/2014
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