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1740307727
JULIE A MATTOX
VANCOUVER, WA
NPI
1740307727
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR AT-AT-1009786)
Enumeration Date
2007-03-23
Last Update Date
2007-07-08
Business Address
Miss JULIE A MATTOX ATC
12901 NE 28TH ST APT 125
VANCOUVER, WA 98682-1228
Phone number: 360-892-0172
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Mailing Address
Miss JULIE A MATTOX ATC
12901 NE 28TH ST APT 125
VANCOUVER, WA 98682-1228
Phone number: 360-892-0172
Copy
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