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1619508918
MATTHEW TYLER CANIK
AUSTIN, TX
NPI
1619508918
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-01-27
Last Update Date
2020-01-27
Business Address
MATTHEW TYLER CANIK
4308 GANYMEDE DR
AUSTIN, TX 78727-5106
Phone number: 512-912-6766
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Mailing Address
MATTHEW TYLER CANIK
4308 GANYMEDE DR
AUSTIN, TX 78727-5106
Phone number: 512-912-6766
Copy
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