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1588285027
IRENE MATUTO
GRAND PRAIRIE, TX
NPI
1588285027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TX 212811)
Enumeration Date
2020-05-06
Last Update Date
2020-05-06
Business Address
IRENE MATUTO
1016 GAINES MILLS RD
GRAND PRAIRIE, TX 75052-1621
Phone number: 469-531-4380
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Mailing Address
IRENE MATUTO
1016 GAINES MILLS RD
GRAND PRAIRIE, TX 75052-1621
Phone number:
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