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1255626131
AUDRA M MATA
SAN ANTONIO, TX
NPI
1255626131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 49086)
Enumeration Date
2011-06-18
Last Update Date
2011-06-18
Business Address
Dr. AUDRA M MATA Pharm.D.
2810 SW MILITARY DR T-0771
SAN ANTONIO, TX 78224-1032
Phone number: 210-927-4752
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Mailing Address
Dr. AUDRA M MATA Pharm.D.
2810 SW MILITARY DR T-0771
SAN ANTONIO, TX 78224-1032
Phone number: 210-927-4752
Copy
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