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1073953170
SUZANNE ELIZABETH MATA
RANCHO CUCAMONGA, CA
NPI
1073953170
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
106H00000X Marriage & Family Therapist
Enumeration Date
2013-07-03
Last Update Date
2019-03-01
Business Address
SUZANNE ELIZABETH MATA
11777 SEBASTIAN WAY STE 102
RANCHO CUCAMONGA, CA 91730-0707
Phone number: 909-838-0044
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Mailing Address
SUZANNE ELIZABETH MATA
713 W COMMONWEALTH AVE
FULLERTON, CA 92832-1612
Phone number: 714-879-4274
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