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1003664525
HERBERT MATANGA
ROGERS, MN
NPI
1003664525
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent
(Licence: MN 11557)
Enumeration Date
2024-05-09
Last Update Date
2024-05-09
Business Address
HERBERT MATANGA CNP
19427 136TH AVE N
ROGERS, MN 55374-4834
Phone number: 763-516-4476
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Mailing Address
HERBERT MATANGA CNP
19427 136TH AVE N
ROGERS, MN 55374-4834
Phone number: 763-516-4476
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