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1639672165
JOVANTE MATTOX
GAINESVILLE, FL
NPI
1639672165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-03-12
Last Update Date
2018-03-12
Business Address
JOVANTE MATTOX
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
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Mailing Address
JOVANTE MATTOX
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
Copy
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