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1396767794
MATTHEW CALVIN LARSON
DULUTH, MN
NPI
1396767794
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN temp. permit # 1197)
Enumeration Date
2006-07-24
Last Update Date
2007-07-08
Business Address
Mr. MATTHEW CALVIN LARSON ATC, CSCS
400 E 3RD ST
DULUTH, MN 55805-1951
Phone number: 218-786-3050
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Mailing Address
Mr. MATTHEW CALVIN LARSON ATC, CSCS
400 E 3RD ST
DULUTH, MN 55805-1951
Phone number: 218-786-3050
Copy
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