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1023159779
GEORGE JAMES MATA
PHOENIX, AZ
NPI
1023159779
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Former Name
GEORGE JAMES SALAMUNEC
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AZ 1917)
Enumeration Date
2007-02-08
Last Update Date
2015-01-05
Business Address
Mr. GEORGE JAMES MATA COTA/L
10251 N 35TH AVE
PHOENIX, AZ 85051-1305
Phone number: 602-995-0867
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Mailing Address
Mr. GEORGE JAMES MATA COTA/L
222 W CLARENDON AVE APT 207 APT #207
PHOENIX, AZ 85013-3487
Phone number: 602-516-0162
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