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1003699901
DANIEL MATTS
STOCKTON, CA
NPI
1003699901
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-08-15
Last Update Date
2023-08-15
Business Address
DANIEL MATTS
405 E PINE ST
STOCKTON, CA 95204-5522
Phone number: 209-464-5519
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Mailing Address
DANIEL MATTS
3601 PACIFIC AVE
STOCKTON, CA 95211-0197
Phone number:
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