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Individual

ANTONI MATABOSCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
111 W CIMARRON ST, COLORADO SPRINGS, CO 80903-3810
(719) 368-8480
Mailing address
3129 NW 65TH DR, FORT LAUDERDALE, FL 33309-1621

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
06/13/2023
Last updated
01/13/2026
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