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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. GREGORY JAMES DEJONG, LAT

Active

MR. GREGORY JAMES DEJONG, LAT is a Athletic Trainer healthcare provider located in KAUKAUNA, Wisconsin. NPI 1295883478 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · KAUKAUNA, WI

Registration Details

NPI Number
1295883478
Provider Type
Individual
Gender
Male
NPI Issued
Jan 6, 2007 (19.564444392031 yrs)
Last Updated
Jul 8, 2007
License
74-039 (WI)

Practice Information

Address
W1910 SLEEPY HOLLOW CT
KAUKAUNA, WI, 541309429
Browse WI providers · Browse ZIP 54130
Phone
9207884760
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in KAUKAUNA, WI

Name Credential NPI
KASEY TRUNK 1194194209
KAREN TEUTSCHMANN 1033575782
QUINTON JARRETT PETERS ATC, LAT, EMT-B 1144703653
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.