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1538675871
MANUELA MATA
RICHMOND HILL, GA
NPI
1538675871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA RBT-16-21050)
Enumeration Date
2017-12-22
Last Update Date
2017-12-22
Business Address
MANUELA MATA
10 LONG CREEK LN
RICHMOND HILL, GA 31324-8601
Phone number: 904-638-6388
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Mailing Address
MANUELA MATA
130 CORRIDOR RD UNIT 3292
PONTE VEDRA BEACH, FL 32004-7833
Phone number:
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