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1821002361
MATTHEW GIBBONS
GASTONIA, NC
NPI
1821002361
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC 0310)
Enumeration Date
2006-07-28
Last Update Date
2007-07-08
Business Address
-- MATTHEW GIBBONS LAT, ATC, CSCS
3372 ROBINWOOD RD
GASTONIA, NC 28054-6689
Phone number: 704-867-8900
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Mailing Address
-- MATTHEW GIBBONS LAT, ATC, CSCS
1610 STONE PINE DR
GASTONIA, NC 28056-8575
Phone number:
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