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1013031897
MARIA MELANIE MATTA ARTEMAN
PEORIA, IL
NPI
1013031897
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Former Name
MARIA MELANIE JACINTO MATTA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: IL 070014689)
Enumeration Date
2007-03-19
Last Update Date
2018-03-17
Business Address
MARIA MELANIE MATTA ARTEMAN PT
518 W ROMEO B GARRETT AVE
PEORIA, IL 61605-2319
Phone number: 718-704-4447
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Mailing Address
MARIA MELANIE MATTA ARTEMAN PT
236 S OKLAHOMA AVE
MORTON, IL 61550-9077
Phone number: 718-704-4447
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