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1417648536
NATHAN MATTIX
LAKELAND, FL
NPI
1417648536
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL 491938)
Enumeration Date
2023-05-18
Last Update Date
2023-05-18
Business Address
NATHAN MATTIX
520 S FLORIDA AVE
LAKELAND, FL 33801-5229
Phone number: 800-378-7597
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Mailing Address
NATHAN MATTIX
520 S FLORIDA AVE
LAKELAND, FL 33801-5229
Phone number: 800-378-7597
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