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1245881994
MATTHEW KERWIN CHURCH
DELAND, FL
NPI
1245881994
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Professional Name
MATTHEW K CHURCH
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171000000X Military Health Care Provider
(Licence: FL CNA304003)
Enumeration Date
2019-09-24
Last Update Date
2019-09-24
Business Address
MATTHEW KERWIN CHURCH CNA
2020 GLENWOOD HAMMOCK RD
DELAND, FL 32720-3805
Phone number: 386-337-7360
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Mailing Address
MATTHEW KERWIN CHURCH CNA
2020 GLENWOOD HAMMOCK RD
DELAND, FL 32720-3805
Phone number: 386-337-7360
Copy