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1174024574
AUDREA CELESTE MATA
LUBBOCK, TX
NPI
1174024574
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 209289)
Enumeration Date
2018-02-22
Last Update Date
2018-02-22
Business Address
Ms. AUDREA CELESTE MATA LVN
3430 54TH ST
LUBBOCK, TX 79413-4042
Phone number: 806-407-4719
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Mailing Address
Ms. AUDREA CELESTE MATA LVN
3430 54TH ST
LUBBOCK, TX 79413-4042
Phone number: 806-407-4719
Copy
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