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1700137908
JUSTIN MARK MATLAGE
NASHVILLE, TN
NPI
1700137908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TN 1597)
Enumeration Date
2012-09-27
Last Update Date
2012-09-27
Business Address
-- JUSTIN MARK MATLAGE MS, ATC, LAT
2601 JESS NEELY DR
NASHVILLE, TN 37212-2039
Phone number: 615-584-5227
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Mailing Address
-- JUSTIN MARK MATLAGE MS, ATC, LAT
2601 JESS NEELY DR
NASHVILLE, TN 37212-2039
Phone number: 615-584-5227
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