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1174050272
AMANDA MATA
MCALLEN, TX
NPI
1174050272
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX F04170401)
Enumeration Date
2017-05-19
Last Update Date
2018-07-23
Business Address
AMANDA MATA PA
100 E RIDGE RD STE A
MCALLEN, TX 78503-1346
Phone number: 956-682-1888
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Mailing Address
AMANDA MATA PA
PO BOX 4449
MCALLEN, TX 78502-4449
Phone number: 956-682-1888
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