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1497125348
MATTHEW WILFUER
FAYETTE, IA
NPI
1497125348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA 079020)
Enumeration Date
2015-10-05
Last Update Date
2016-04-12
Business Address
-- MATTHEW WILFUER ATC, LAT
605 WASHINGTON ST
FAYETTE, IA 52142-9206
Phone number: 563-425-5364
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Mailing Address
-- MATTHEW WILFUER ATC, LAT
E9033 WORM RD
NEW LONDON, WI 54961-8463
Phone number: 920-359-0224
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