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1215557665
MATTHEW SKALAK
DETROIT, MI
NPI
1215557665
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-24
Last Update Date
2020-04-24
Business Address
MATTHEW SKALAK
4160 JOHN R ST STE 1017
DETROIT, MI 48201-2017
Phone number: 313-745-4123
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Mailing Address
MATTHEW SKALAK
1880 BROWNS GAP TPKE
CHARLOTTESVILLE, VA 22901-6313
Phone number: 914-584-4425
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