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1144773243
NATHAN MATLACK
FORT COLLINS, CO
NPI
1144773243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: CO MT.0018968)
Enumeration Date
2016-07-26
Last Update Date
2016-07-26
Business Address
-- NATHAN MATLACK MT
3429 E LOCUST ST
FORT COLLINS, CO 80524-8548
Phone number: 970-231-1431
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Mailing Address
-- NATHAN MATLACK MT
3429 E LOCUST ST
FORT COLLINS, CO 80524-8548
Phone number: 970-231-1431
Copy
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