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1750806105
MATTHEW TIMOTHY YATES
LYNCHBURG, VA
NPI
1750806105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126002215)
Enumeration Date
2017-08-07
Last Update Date
2017-08-07
Business Address
Mr. MATTHEW TIMOTHY YATES ATC
2500 RIVERMONT AVE
LYNCHBURG, VA 24503-1555
Phone number: 434-947-8356
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Mailing Address
Mr. MATTHEW TIMOTHY YATES ATC
2500 RIVERMONT AVE
LYNCHBURG, VA 24503-1555
Phone number:
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