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1336639764
MATTHEW ALLEN ZIMMERMAN
LARAMIE, WY
NPI
1336639764
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WY 192)
Enumeration Date
2018-05-10
Last Update Date
2023-10-12
Business Address
MATTHEW ALLEN ZIMMERMAN LAT, ATC
1000 E UNIVERSITY AVE DEPT 3604
LARAMIE, WY 82071-2001
Phone number: 307-766-6678
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Mailing Address
MATTHEW ALLEN ZIMMERMAN LAT, ATC
1000 E UNIVERSITY AVE DEPT 3604
LARAMIE, WY 82071-2001
Phone number: 307-766-6678
Copy
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