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1386144285
NILSON MATA
LAWRENCE, MA
NPI
1386144285
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X Community/Behavioral Health
Enumeration Date
2018-02-16
Last Update Date
2018-02-16
Business Address
NILSON MATA
50 ISLAND ST
LAWRENCE, MA 01840-1868
Phone number: 617-848-9091
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Mailing Address
NILSON MATA
50 ISLAND ST
LAWRENCE, MA 01840-1868
Phone number:
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