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1720068166
JOHN MATTARELLA
LIVONIA, MI
NPI
1720068166
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704134134)
Enumeration Date
2006-01-20
Last Update Date
2007-07-09
Business Address
-- JOHN MATTARELLA CRNA
35220 CURTIS RD
LIVONIA, MI 48152-2900
Phone number: 734-241-3891
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Mailing Address
-- JOHN MATTARELLA CRNA
35220 CURTIS RD
LIVONIA, MI 48152-2900
Phone number: 734-241-3891
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