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1063741783
JUAN PAULO MATA
MERCED, CA
NPI
1063741783
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor Mental Health
Enumeration Date
2009-12-08
Last Update Date
2023-12-20
Business Address
JUAN PAULO MATA
301 E 13TH ST STE D
MERCED, CA 95341-6211
Phone number: 209-386-1096
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Mailing Address
JUAN PAULO MATA
3433 W SHAW AVE STE 108
FRESNO, CA 93711-3229
Phone number: 559-558-4051
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