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1730674458
ANTONINO MATINA
LAPEER, MI
NPI
1730674458
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MI 5601008715)
Enumeration Date
2018-06-25
Last Update Date
2019-04-10
Business Address
ANTONINO MATINA
1031 SUNCREST DR
LAPEER, MI 48446-1136
Phone number: 810-664-4870
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Mailing Address
ANTONINO MATINA
1031 SUNCREST DR
LAPEER, MI 48446-1136
Phone number: 810-664-4870
Copy
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