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1114750361
MATTHEW TA
MIDLAND, TX
NPI
1114750361
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-08-22
Last Update Date
2024-08-22
Business Address
MATTHEW TA
3600 N GARFIELD ST
MIDLAND, TX 79705-6329
Phone number: 832-726-9010
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Mailing Address
MATTHEW TA
3600 N GARFIELD ST
MIDLAND, TX 79705-6329
Phone number: 832-726-9010
Copy
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