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1033688205
BETHZAIDA MATA
ONTARIO, CA
NPI
1033688205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-11-17
Last Update Date
2018-11-17
Business Address
BETHZAIDA MATA
1801 EXCISE AVE STE 116
ONTARIO, CA 91761-8557
Phone number: 818-241-6780
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Mailing Address
BETHZAIDA MATA
206 N JACKSON ST STE 206
GLENDALE, CA 91206-4330
Phone number: 818-241-6780
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