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1033795802
ANDRES MATA
ODESSA, TX
NPI
1033795802
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-22
Last Update Date
2021-03-22
Business Address
ANDRES MATA MD
701 W 5TH ST STE 1229
ODESSA, TX 79763-4206
Phone number: 432-703-5375
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Mailing Address
ANDRES MATA MD
701 W 5TH ST STE 1229
ODESSA, TX 79763-4206
Phone number: 432-703-5375
Copy
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