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Individual

MR. MATTHEW LEWIS MARSHBURN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAT/ATC

Contact information

Practice address
605 GROVE STREET, SALISBURY, NC 28144
(704) 633-6442
Mailing address
605 GROVE STREET, SALISBURY, NC 28144
(704) 633-6442

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1065
NC

Other

Enumeration date
03/28/2012
Last updated
03/28/2012
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