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1730741885
NINA DESIREE MATA
DALLAS, TX
NPI
1730741885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-06-28
Last Update Date
2019-06-28
Business Address
NINA DESIREE MATA
8915 HARRY HINES BLVD
DALLAS, TX 75235-1717
Phone number: 682-365-8889
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Mailing Address
NINA DESIREE MATA
8915 HARRY HINES BLVD
DALLAS, TX 75235-1717
Phone number: 682-365-8889
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