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1114162302
CARLOS MANUEL MATOS
BRONX, NY
NPI
1114162302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2008-12-03
Last Update Date
2008-12-03
Business Address
Mr. CARLOS MANUEL MATOS MSED
2217 MANNING ST
BRONX, NY 10462-5001
Phone number: 646-220-9043
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Mailing Address
Mr. CARLOS MANUEL MATOS MSED
2217 MANNING ST
BRONX, NY 10462-5001
Phone number: 646-220-9043
Copy
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