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1477113439
MATTHEW PHILIP MCMANUS
FARGO, ND
NPI
1477113439
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN 2721)
Enumeration Date
2019-06-20
Last Update Date
2019-06-20
Business Address
MATTHEW PHILIP MCMANUS MA, ATC
2301 25TH ST S
FARGO, ND 58103-6104
Phone number: 701-417-6000
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Mailing Address
MATTHEW PHILIP MCMANUS MA, ATC
425 37TH AVE S
MOORHEAD, MN 56560-5511
Phone number: 605-999-8241
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