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1194251967
CHRISTINA MATTA
FORT WALTON BEACH, FL
NPI
1194251967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
Enumeration Date
2017-05-11
Last Update Date
2017-05-11
Business Address
CHRISTINA MATTA
2104 LEWIS TURNER BLVD
FORT WALTON BEACH, FL 32547-1316
Phone number: 850-862-3728
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Mailing Address
CHRISTINA MATTA
2104 LEWIS TURNER BLVD
FORT WALTON BEACH, FL 32547-1316
Phone number: 850-862-3728
Copy
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