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1255969564
NICHOLAS LOUIS DIMATTEO
DALLAS, TX
NPI
1255969564
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1008024)
Enumeration Date
2020-03-31
Last Update Date
2020-08-05
Business Address
NICHOLAS LOUIS DIMATTEO APRN
1441 N BECKLEY AVE
DALLAS, TX 75203-1201
Phone number: 817-909-4290
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Mailing Address
NICHOLAS LOUIS DIMATTEO APRN
6451 BRENTWOOD STAIR RD STE 200
FORT WORTH, TX 76112-3200
Phone number: 817-496-9700
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