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1750016986
TYLER AUSTIN MATTAS
MOODY AFB, GA
NPI
1750016986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2022-07-21
Last Update Date
2023-10-05
Business Address
TYLER AUSTIN MATTAS
3280 MITCHELL BLVD
MOODY AFB, GA 31699-9402
Phone number: 520-861-6058
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Mailing Address
TYLER AUSTIN MATTAS
8246 KNIGHTS WAY
MOODY AFB, GA 31699-1800
Phone number: 229-257-2778
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