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1790399442
MATTHEW THOMAS LACLAIR
MANKATO, MN
NPI
1790399442
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-09-01
Last Update Date
2020-09-01
Business Address
MATTHEW THOMAS LACLAIR
230 JAYCEE CT APT 205
MANKATO, MN 56001-6949
Phone number: 518-536-2191
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Mailing Address
MATTHEW THOMAS LACLAIR
230 JAYCEE CT APT 205
MANKATO, MN 56001-6949
Phone number: 518-536-2191
Copy
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