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1174877260
MATTHEW RONGSTAD
RALEIGH, NC
NPI
1174877260
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NC 2148)
Enumeration Date
2012-10-29
Last Update Date
2012-10-29
Business Address
MATTHEW RONGSTAD
11200 GOVERNOR MANLY WAY
RALEIGH, NC 27614-8599
Phone number: 919-562-9410
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Mailing Address
MATTHEW RONGSTAD
4720 SHANNONHOUSE DR APT 110
RALEIGH, NC 27612-3416
Phone number:
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