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1720626179
AMBER MATA
NEW ORLEANS, LA
NPI
1720626179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA RN133561)
Enumeration Date
2019-12-17
Last Update Date
2019-12-17
Business Address
AMBER MATA
1415 TULANE AVE
NEW ORLEANS, LA 70112-2600
Phone number: 504-988-6958
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Mailing Address
AMBER MATA
255 W MICHIGAN AVE
JACKSON, MI 49201-2218
Phone number: 800-516-5315
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