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1710021548
MATTHEW SKUFZA
FAYETTE, IA
NPI
1710021548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA 00321)
Enumeration Date
2007-02-16
Last Update Date
2007-07-08
Business Address
-- MATTHEW SKUFZA MS, ATC, LAT
605 WASHINGTON ST
FAYETTE, IA 52142-9206
Phone number: 563-425-5664
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Mailing Address
-- MATTHEW SKUFZA MS, ATC, LAT
905 N FREDERICK AVE
OELWEIN, IA 50662-1048
Phone number: 319-283-9245
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