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1710447388
CHENGETAI BEVERLY MATENGENZARA
DALLAS, TX
NPI
1710447388
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2019-03-20
Last Update Date
2021-02-10
Business Address
CHENGETAI BEVERLY MATENGENZARA
18950 MARSH LN APT 208
DALLAS, TX 75287-2157
Phone number: 214-659-1138
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Mailing Address
CHENGETAI BEVERLY MATENGENZARA
18950 MARSH LN APT 208
DALLAS, TX 75287-2157
Phone number: 214-659-1138
Copy
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