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1336771971
MATTHEW ROSA
OLATHE, KS
NPI
1336771971
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2020-02-11
Last Update Date
2021-07-27
Business Address
MATTHEW ROSA
12536 S HAGAN LN
OLATHE, KS 66062-6074
Phone number: 913-484-3058
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Mailing Address
MATTHEW ROSA
4455 N 1ST ST APT 195
LINCOLN, NE 68521-4825
Phone number: 913-484-3058
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