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1699379073
TYLER MATA
HENDERSON, NV
NPI
1699379073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-11-25
Last Update Date
2020-11-25
Business Address
TYLER MATA
153 W LAKE MEAD PKWY
HENDERSON, NV 89015-7044
Phone number: 702-566-2433
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Mailing Address
TYLER MATA
153 W LAKE MEAD PKWY
HENDERSON, NV 89015-7044
Phone number: 702-566-2433
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