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1417098443
ALMA RAE MATTOCKS
FOREST GROVE, OR
NPI
1417098443
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR AT-AT-1005014)
Enumeration Date
2007-02-11
Last Update Date
2019-01-10
Business Address
Ms. ALMA RAE MATTOCKS ATC
2043 COLLEGE WAY
FOREST GROVE, OR 97116-1756
Phone number: 503-352-2780
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Mailing Address
Ms. ALMA RAE MATTOCKS ATC
NORTHERN KENTUCKY UNIVERSITY NUNN DRIVE / HC 116
HIGHLAND HEIGHTS, KY 41099
Phone number: 503-880-0457
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