MATTHEW WAYNE HOLDER

CAPE GIRARDEAU, MO
NPI1962535054
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  113907)
Enumeration Date2007-03-14
Last Update Date2007-07-08
Business Address
Mr. MATTHEW WAYNE HOLDER ATC
3047 WILLIAM ST
CAPE GIRARDEAU, MO 63703-6393
Phone number: 573-339-5989
Mailing Address
Mr. MATTHEW WAYNE HOLDER ATC
509 KEELEY AVE
SCOTT CITY, MO 63780-1631
Phone number: 573-264-3632
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