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1154745305
MATTHEW CLOCKEL
ST PETERSBURG, FL
NPI
1154745305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174H00000X Health Educator
(Licence: FL ma74781)
Enumeration Date
2014-02-07
Last Update Date
2014-02-07
Business Address
-- MATTHEW CLOCKEL
433 CENTRAL AVE SUITE 211
ST PETERSBURG, FL 33701-3853
Phone number: 914-466-8971
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Mailing Address
-- MATTHEW CLOCKEL
433 CENTRAL AVE SUITE 211
ST PETERSBURG, FL 33701-3853
Phone number: 914-466-8971
Copy
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