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1851021190
RICHARD MATOS
TAMPA, FL
NPI
1851021190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-06-10
Last Update Date
2022-06-10
Business Address
RICHARD MATOS
5707 N 22ND ST
TAMPA, FL 33610-4350
Phone number: 813-239-8069
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Mailing Address
RICHARD MATOS
5707 N 22ND ST
TAMPA, FL 33610-4350
Phone number: 813-239-8069
Copy
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