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Individual
MR. MATTHEW ABELINO SANDOVAL
Active
Individual
MR. MATTHEW ABELINO SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SLPA
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
30
AK
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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