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1013570456
MELISSA MATA-DURAN
PETALUMA, CA
NPI
1013570456
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-04-22
Last Update Date
2019-04-22
Business Address
MELISSA MATA-DURAN
101 H ST STE L
PETALUMA, CA 94952-5100
Phone number: 866-206-2008
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Mailing Address
MELISSA MATA-DURAN
14550 E 14TH ST APT 215
SAN LEANDRO, CA 94578-2802
Phone number: 510-919-0102
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