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1104438670
JACOB MATA
PASADENA, CA
NPI
1104438670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-08-17
Last Update Date
2020-08-17
Business Address
JACOB MATA
1055 E COLORADO BLVD STE 560
PASADENA, CA 91106-2380
Phone number: 818-241-6780
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Mailing Address
JACOB MATA
1055 E COLORADO BLVD STE 560
PASADENA, CA 91106-2380
Phone number: 818-241-6780
Copy
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