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1598151136
DAIVA MATTIS
BRONX, NY
NPI
1598151136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: IL 036.153139)
Enumeration Date
2015-04-10
Last Update Date
2021-07-01
Business Address
DAIVA MATTIS
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 510-872-2029
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Mailing Address
DAIVA MATTIS
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 510-872-2029
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