IAN DANIEL MATLACK

KIRKSVILLE, MO
NPI1417638685
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2023-07-31
Last Update Date2024-05-15
Business Address
Mr. IAN DANIEL MATLACK
100 E NORMAL AVE
KIRKSVILLE, MO 63501-4200
Phone number: 816-244-7674
Mailing Address
Mr. IAN DANIEL MATLACK
2903 ANGELIQUE ST
SAINT JOSEPH, MO 64501-3436
Phone number: 816-244-7674
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