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1194477901
TIARA MATTOX
BRONX, NY
NPI
1194477901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child
Enumeration Date
2022-01-23
Last Update Date
2022-01-23
Business Address
TIARA MATTOX
120 CASALS PL APT 13C
BRONX, NY 10475-3138
Phone number: 917-639-8277
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Mailing Address
TIARA MATTOX
120 CASALS PL APT 13C
BRONX, NY 10475-3138
Phone number: 917-639-8277
Copy
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