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1396218962
LARRY MATTOCKS
CHARLOTTE, NC
NPI
1396218962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-01-07
Last Update Date
2019-01-07
Business Address
LARRY MATTOCKS
1401 E 7TH ST
CHARLOTTE, NC 28204-6300
Phone number: 704-461-3037
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Mailing Address
LARRY MATTOCKS
5722 TWIN BROOK DR
CHARLOTTE, NC 28269-1692
Phone number: 704-904-0319
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