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1932280179
MARINA MATA
ANN ARBOR, MI
NPI
1932280179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: MI 4301042055)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
-- MARINA MATA MD
1500 EAST MEDICAL CENTER DR 1ST FLOOR TAUBMAN CTR RECP C
ANN ARBOR, MI 48109-0322
Phone number: 734-936-9010
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Mailing Address
-- MARINA MATA MD
3621 S STATE ST 700 KMS PLACE
ANN ARBOR, MI 48108
Phone number: 734-936-2047
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