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1578321667
OMAR MATOS WILSON
MIRAMAR, FL
NPI
1578321667
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-03-12
Last Update Date
2024-03-12
Business Address
OMAR MATOS WILSON
12036 SW 42ND ST APT 303
MIRAMAR, FL 33025-7982
Phone number: 305-479-1145
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Mailing Address
OMAR MATOS WILSON
12036 SW 42ND ST APT 303
MIRAMAR, FL 33025-7982
Phone number: 305-479-1145
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