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1689423675
JENNIFER MATA
STAMFORD, CT
NPI
1689423675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2024-05-14
Last Update Date
2024-05-14
Business Address
JENNIFER MATA
20 NORTH ST APT 11-2
STAMFORD, CT 06902-2363
Phone number: 203-962-5102
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Mailing Address
JENNIFER MATA
20 NORTH ST APT 11-2
STAMFORD, CT 06902-2363
Phone number: 203-962-5102
Copy
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