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1063851582
EMMANUEL MATA
LOS ANGELES, CA
NPI
1063851582
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: CA 1086055)
Enumeration Date
2013-06-18
Last Update Date
2013-06-18
Business Address
-- EMMANUEL MATA RD
924 S MARIPOSA AVE APT 2
LOS ANGELES, CA 90006-1425
Phone number: 213-239-3035
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Mailing Address
-- EMMANUEL MATA RD
924 S MARIPOSA AVE APT 2
LOS ANGELES, CA 90006-1425
Phone number: 213-239-3035
Copy
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