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1023628989
MATTHEW PAUL GUINANE
MEQUON, WI
NPI
1023628989
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 2470-39)
Enumeration Date
2020-08-05
Last Update Date
2021-09-17
Business Address
MATTHEW PAUL GUINANE
12800 N LAKE SHORE DR
MEQUON, WI 53097-2418
Phone number: 641-821-0508
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Mailing Address
MATTHEW PAUL GUINANE
12800 N LAKE SHORE DR
MEQUON, WI 53097-2418
Phone number:
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