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1184756132
MATTHEW ROBERT VANEENOO
SPOKANE, WA
NPI
1184756132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2007-03-12
Last Update Date
2007-07-08
Business Address
-- MATTHEW ROBERT VANEENOO ATC
1111 E WESTVIEW CT STE A
SPOKANE, WA 99218-1376
Phone number: 509-465-1749
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Mailing Address
-- MATTHEW ROBERT VANEENOO ATC
6320 N CALISPEL ST APT 17
SPOKANE, WA 99208-3972
Phone number: 206-372-5081
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