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1437803418
MATTHEW GERVASI
FORT BLISS, TX
NPI
1437803418
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2022-02-08
Last Update Date
2022-08-10
Business Address
MATTHEW GERVASI
13447 STAFF SARGENT SIMS ST
FORT BLISS, TX 79918
Phone number: 609-828-8128
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Mailing Address
MATTHEW GERVASI
138 LAFAYETTE RD
AUDUBON, NJ 08106-1130
Phone number: 609-828-8128
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