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1952173999
MATTHEW SHANE MINISTRELLI
TYLER, TX
NPI
1952173999
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-10-24
Last Update Date
2023-10-24
Business Address
MATTHEW SHANE MINISTRELLI
1001 W SW LOOP 323
TYLER, TX 75701-9416
Phone number: 430-205-8710
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Mailing Address
MATTHEW SHANE MINISTRELLI
1001 W SW LOOP 323
TYLER, TX 75701-9416
Phone number: 430-205-8710
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