MATTHEW FORTUNE

WINSTON SALEM, NC
NPI1417361882
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC  2237)
Enumeration Date2014-06-13
Last Update Date2014-06-13
Business Address
Mr. MATTHEW FORTUNE LAT, ATC
5705 SHATTALON DR
WINSTON SALEM, NC 27105-1332
Phone number: 336-399-5668
Mailing Address
Mr. MATTHEW FORTUNE LAT, ATC
5705 SHATTALON DR
WINSTON SALEM, NC 27105-1332
Phone number: 336-399-5668
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