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1093887440
KEVIN CHARLES MATTHEWS
LIVE OAK, TX
NPI
1093887440
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
222Z00000X Orthotist
(Licence: TX 558)
Enumeration Date
2006-11-14
Last Update Date
2007-12-31
Business Address
Mr. KEVIN CHARLES MATTHEWS LO
12315 JUDSON RD #206
LIVE OAK, TX 78233-3277
Phone number: 210-657-8100
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Mailing Address
Mr. KEVIN CHARLES MATTHEWS LO
12315 JUDSON RD #206
LIVE OAK, TX 78233-3277
Phone number: 210-657-8100
Copy
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