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1194853002
JARED F MATKOWSKI
GLASTONBURY, CT
NPI
1194853002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CT 000088)
Enumeration Date
2007-03-01
Last Update Date
2007-07-08
Business Address
Mr. JARED F MATKOWSKI LATC
2928 MAIN ST EASTERN REHABILITATION NETWORK
GLASTONBURY, CT 06033-1007
Phone number: 860-657-4723
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Mailing Address
Mr. JARED F MATKOWSKI LATC
108 MCKEE ST APT K
MANCHESTER, CT 06040-4859
Phone number: 860-432-3581
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