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1821657958
ANTONIO MATA
FRISCO, TX
NPI
1821657958
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
253Z00000X In Home Supportive Care
(Licence: TX 019526)
Enumeration Date
2019-06-12
Last Update Date
2020-01-27
Business Address
ANTONIO MATA
1055 CRYSTAL LAKE DR
FRISCO, TX 75036-8878
Phone number: 305-297-0334
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Mailing Address
ANTONIO MATA
1055 CRYSTAL LAKE DR
FRISCO, TX 75036-8878
Phone number: 305-297-0334
Copy
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