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1972735389
KENNETH M MATTOS
TAMPA, FL
NPI
1972735389
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: FL ap2738)
Enumeration Date
2009-08-18
Last Update Date
2017-02-06
Business Address
-- KENNETH M MATTOS A.P., D.O.M.
4912 N ARMENIA AVE
TAMPA, FL 33603-1402
Phone number: 813-871-2950
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Mailing Address
-- KENNETH M MATTOS A.P., D.O.M.
3203 W TAMPA BAY BLVD
TAMPA, FL 33607-6615
Phone number: 813-871-2950
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