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1356735096
TREV MUTH
COLUMBUS, NE
NPI
1356735096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2015-03-19
Last Update Date
2015-03-19
Business Address
TREV MUTH
3339 31ST ST
COLUMBUS, NE 68601-1407
Phone number: 402-942-1732
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Mailing Address
TREV MUTH
3339 31ST ST
COLUMBUS, NE 68601-1407
Phone number: 402-942-1732
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