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Individual

MATTHEW VAIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AT

Contact information

Practice address
500 UNIVERSITY AVE W, MINOT, ND 58707-0001
(913) 271-1739
Mailing address
234 14TH AVE SE APT 310, MINOT, ND 58701-5983
(913) 271-1739

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
855-19
ND
2255A2300X
Athletic Trainer
ND
2255A2300X
Athletic Trainer

Other

Enumeration date
09/22/2018
Last updated
07/17/2019
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