MATHEW MCDERMOTT

AZTEC, NM
NPI1407210180
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NM  606)
Enumeration Date2016-04-08
Last Update Date2016-04-08
Business Address
-- MATHEW MCDERMOTT ATC
500 E CHACO ST
AZTEC, NM 87410-2170
Phone number: 505-334-9414
Mailing Address
-- MATHEW MCDERMOTT ATC
402 UTE AVE
AZTEC, NM 87410-2232
Phone number: 505-793-0028
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