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1013101914
MARK A. MATTHEWS
LOS ANGELES, CA
NPI
1013101914
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: CA LVN 180296)
Enumeration Date
2007-09-04
Last Update Date
2007-09-04
Business Address
-- MARK A. MATTHEWS
6310 7TH AVE 6313 7TH AVENUE
LOS ANGELES, CA 90043-4275
Phone number: 323-778-0718
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Mailing Address
-- MARK A. MATTHEWS
6310 7TH AVE 6313 7TH AVENUE
LOS ANGELES, CA 90043-4275
Phone number: 323-778-0718
Copy
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