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1003245986
MATTHEW NELSON
ROANOKE, VA
NPI
1003245986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126002081)
Enumeration Date
2013-11-01
Last Update Date
2013-11-01
Business Address
-- MATTHEW NELSON
1818 BELLEVILLE RD SW
ROANOKE, VA 24015-2708
Phone number: 276-233-5301
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Mailing Address
-- MATTHEW NELSON
1818 BELLEVILLE RD SW
ROANOKE, VA 24015-2708
Phone number:
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