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1235376369
MATTHEW JEROME BUSSMAN
SEATTLE, WA
NPI
1235376369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WA A1 60047682)
Enumeration Date
2009-01-12
Last Update Date
2009-01-12
Business Address
Mr. MATTHEW JEROME BUSSMAN A.T.C.
901 12TH AVE ATHLETICS BUILDING
SEATTLE, WA 98122-4411
Phone number: 206-296-5432
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Mailing Address
Mr. MATTHEW JEROME BUSSMAN A.T.C.
901 12TH AVENUE PO BOX 222000
SEATTLE, WA 98122
Phone number: 206-296-5432
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