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1912280140
THOMAS MINA MATTA
TULSA, OK
NPI
1912280140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: IA 21565)
Enumeration Date
2011-09-23
Last Update Date
2012-07-10
Business Address
Dr. THOMAS MINA MATTA PharmD
4502 E 41ST ST SUITE 2H27
TULSA, OK 74135-2536
Phone number: 916-660-3022
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Mailing Address
Dr. THOMAS MINA MATTA PharmD
4502 E 41ST ST SUITE 2H27
TULSA, OK 74135-2536
Phone number: 916-660-3022
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