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1023572203
DEREK MATEO
SAN DIEGO, CA
NPI
1023572203
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2019-01-22
Last Update Date
2019-01-22
Business Address
DEREK MATEO
1201 34TH ST
SAN DIEGO, CA 92102-2416
Phone number: 619-232-2946
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Mailing Address
DEREK MATEO
11982 DAPPLE WAY
SAN DIEGO, CA 92128-5245
Phone number:
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