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1013354901
DOREEN MATA
SANTA ANA, CA
NPI
1013354901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-05-31
Last Update Date
2013-05-31
Business Address
-- DOREEN MATA
1905 COLLEGE AVE
SANTA ANA, CA 92706-2334
Phone number: 714-479-0120
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Mailing Address
-- DOREEN MATA
1905 COLLEGE AVE
SANTA ANA, CA 92706-2334
Phone number: 714-479-0120
Copy
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