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1013566736
MATTHEW ALLAN BERRY
FONTANA, CA
NPI
1013566736
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 34542)
Enumeration Date
2019-09-05
Last Update Date
2019-09-05
Business Address
MATTHEW ALLAN BERRY
14677 MERRILL AVE
FONTANA, CA 92335
Phone number: 951-643-2335
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Mailing Address
MATTHEW ALLAN BERRY
9800 MESA LINDA ST APT 178
HESPERIA, CA 92345-0105
Phone number: 909-539-3040
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