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1851934038
MATTHEW HAISCH
FORT SMITH, AR
NPI
1851934038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-10-21
Last Update Date
2019-10-21
Business Address
MATTHEW HAISCH ATC
5210 GRAND AVE
FORT SMITH, AR 72904-7362
Phone number: 515-971-0615
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Mailing Address
MATTHEW HAISCH ATC
5210 GRAND AVE
FORT SMITH, AR 72904-7362
Phone number:
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