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1306855168
VINCENT T MATTIELLO
DEBARY, FL
NPI
1306855168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: FL CH9167)
Enumeration Date
2006-08-07
Last Update Date
2013-03-20
Business Address
-- VINCENT T MATTIELLO DC
2845 ENTERPRISE RD SUITE 101
DEBARY, FL 32713-5224
Phone number: 386-668-9200
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Mailing Address
-- VINCENT T MATTIELLO DC
29 BIG BUCK TRL
ORMOND BEACH, FL 32174-4279
Phone number: 386-405-0652
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