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1336796341
MIGUEL ANGEL MATAMOROS
PHOENIX, AZ
NPI
1336796341
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician Attendant Care Provider
Enumeration Date
2019-08-23
Last Update Date
2019-08-23
Business Address
MIGUEL ANGEL MATAMOROS
725 W VOGEL AVE
PHOENIX, AZ 85021-3166
Phone number: 623-329-1820
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Mailing Address
MIGUEL ANGEL MATAMOROS
7421 W YUCCA ST
PEORIA, AZ 85345-5814
Phone number:
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