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1679102131
DANIEL EDUARDO MATIENZO
PLANTATION, FL
NPI
1679102131
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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
2020-04-06
Last Update Date
2020-04-06
Business Address
Dr. DANIEL EDUARDO MATIENZO
8201 W BROWARD BLVD
PLANTATION, FL 33324-2701
Phone number: 964-723-1207
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Mailing Address
Dr. DANIEL EDUARDO MATIENZO
1701 W SANTA CRUZ ST
SAN PEDRO, CA 90732-2725
Phone number: 307-286-3210
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