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Individual

MR. MATTHEW JON LOVELADY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC/LAT

Contact information

Practice address
3900 N PARKVIEW DR, FAYETTEVILLE, AR 72703-6398
(479) 966-4187
(479) 935-4064
Mailing address
3900 N PARKVIEW DR, FAYETTEVILLE, AR 72703-6398
(479) 966-4187
(479) 935-4064

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
02/05/2014
Last updated
02/05/2014
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