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1295945046
MATTHEW STEVEN BEKKEDAL
PORTAGE, WI
NPI
1295945046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 618-039)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
Mr. MATTHEW STEVEN BEKKEDAL A.T.C.
2817 NEW PINERY RD STE 103
PORTAGE, WI 53901-9257
Phone number: 608-745-6290
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Mailing Address
Mr. MATTHEW STEVEN BEKKEDAL A.T.C.
3199 BOOKHAM DR
SUN PRAIRIE, WI 53590-4587
Phone number: 608-834-1485
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