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1790174316
MATTHEW HAYNIE
COUNCIL BLUFFS, IA
NPI
1790174316
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA 075360)
Enumeration Date
2015-01-20
Last Update Date
2015-01-20
Business Address
-- MATTHEW HAYNIE ATC, LAT
2533 AVENUE H
COUNCIL BLUFFS, IA 51501-0829
Phone number: 402-651-7414
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Mailing Address
-- MATTHEW HAYNIE ATC, LAT
2533 AVENUE H
COUNCIL BLUFFS, IA 51501-0829
Phone number: 402-651-7414
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