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1164961108
MATTHEW CANNELLA
LAS VEGAS, NV
NPI
1164961108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NV 0506403)
Enumeration Date
2017-02-22
Last Update Date
2017-02-22
Business Address
MATTHEW CANNELLA ATC
980 KELLY JOHNSON DRIVE SUITE 200
LAS VEGAS, NV 89119
Phone number: 702-732-5529
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Mailing Address
MATTHEW CANNELLA ATC
980 KELLY JOHNSON DR STE 200
LAS VEGAS, NV 89119-3768
Phone number: 702-732-5529
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