MATTHEW EDWIN WALLACE

OMAHA, NE
NPI1760426258
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NE  378)
Enumeration Date2006-06-15
Last Update Date2007-07-08
Business Address
Mr. MATTHEW EDWIN WALLACE ATC, PES
CREIGHTON UNIUVERSITY 2500 CALIFORNIA PLAZA
OMAHA, NE 68178-0001
Phone number: 402-280-5563
Mailing Address
Mr. MATTHEW EDWIN WALLACE ATC, PES
2932 S 93RD PLZ APT. 5
OMAHA, NE 68124-2823
Phone number: 402-990-4004
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