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1073026456
KELVIN RAFAEL MATA
BROOKLYN, NY
NPI
1073026456
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-11-08
Last Update Date
2017-11-08
Business Address
Mr. KELVIN RAFAEL MATA
2748 OCEAN AVE APT 4
BROOKLYN, NY 11229-4735
Phone number: 646-237-3450
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Mailing Address
Mr. KELVIN RAFAEL MATA
2748 OCEAN AVE APT 4
BROOKLYN, NY 11229-4735
Phone number:
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