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1679735294
MATTHEW CHARLES PIECHOSKI
WACO, TX
NPI
1679735294
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT6016)
Enumeration Date
2008-06-25
Last Update Date
2018-05-09
Business Address
MATTHEW CHARLES PIECHOSKI ATC, CES
1500 S UNIVERSITY PARKS DR
WACO, TX 76706-1731
Phone number: 254-710-7235
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Mailing Address
MATTHEW CHARLES PIECHOSKI ATC, CES
3015 MITCHELL AVE
WACO, TX 76708-2662
Phone number: 254-644-0048
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