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1174867998
MATTHEW BLAIR WAY
OVERLAND PARK, KS
NPI
1174867998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KS 24-00496)
Enumeration Date
2012-11-16
Last Update Date
2012-11-16
Business Address
Mr. MATTHEW BLAIR WAY LAT,ATC
10730 NALL AVE SUITE 200
OVERLAND PARK, KS 66211-1366
Phone number: 913-945-9829
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Mailing Address
Mr. MATTHEW BLAIR WAY LAT,ATC
3700 CLINTON PKWY APARTMENT 1505
LAWRENCE, KS 66047-2199
Phone number: 316-305-2444
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