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1376676700
MATTHEW WILLIAM WINANS
KENOSHA, WI
NPI
1376676700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: WI 834039)
Enumeration Date
2007-03-14
Last Update Date
2014-03-28
Business Address
MR. MATTHEW WILLIAM WINANS LAT
2717 18TH ST
KENOSHA, WI 53140-4666
Phone number: 262-551-5650
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Mailing Address
MR. MATTHEW WILLIAM WINANS LAT
6002 94TH CT
KENOSHA, WI 53142-7625
Phone number: 262-224-0694
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