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John Clougherty, MED,LAT, ATC
NPI 1104279371 · on the registry since 2016 · sole proprietor
Practice
- Address
- 12038 State Highway 205
Lavon, TX 75166 - Phone
- (972) 722-4875
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-07-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas