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1295456226
MATTHEW STEPHAN VODDEN
AURORA, IL
NPI
1295456226
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2022-09-07
Last Update Date
2022-09-07
Business Address
MATTHEW STEPHAN VODDEN
347 S GLADSTONE AVE
AURORA, IL 60506-4877
Phone number: 630-892-6431
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Mailing Address
MATTHEW STEPHAN VODDEN
2247 SCOTT LN
AURORA, IL 60502-4408
Phone number: 630-277-7684
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