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1912566092
MATTHEW WAYNE ADAMS
BLOOMINGTON, IN
NPI
1912566092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36003265A)
Enumeration Date
2019-06-11
Last Update Date
2019-09-05
Business Address
MATTHEW WAYNE ADAMS LAT, ATC
2301 E ARDEN DR
BLOOMINGTON, IN 47401-6890
Phone number: 812-361-9947
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Mailing Address
MATTHEW WAYNE ADAMS LAT, ATC
2301 E ARDEN DR
BLOOMINGTON, IN 47401-6890
Phone number: 812-361-9947
Copy
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