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1316008527
KELLY MATTIJETZ
APO, AE
NPI
1316008527
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 570905)
Enumeration Date
2006-12-12
Last Update Date
2007-07-08
Business Address
-- KELLY MATTIJETZ
LRMC CMR 402 BOX 0088
APO, AE 09180
Phone number: 049-6371
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Mailing Address
-- KELLY MATTIJETZ
LRMC CMR 402 BOX 0088
APO, AE 09180
Phone number: 049-6371
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