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1700200201
BETHANY AWBREY MATA
EL PASO, TX
NPI
1700200201
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Former Name
BETHANY AWBREY ROMERO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TX DT83064)
Enumeration Date
2014-02-05
Last Update Date
2019-09-13
Business Address
Mrs. BETHANY AWBREY MATA RD, LD
4801 ALBERTA AVE
EL PASO, TX 79905-2707
Phone number: 915-215-5700
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Mailing Address
Mrs. BETHANY AWBREY MATA RD, LD
440 RAYNOLDS ST # 51015
EL PASO, TX 79905-1613
Phone number: 915-215-4480
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