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1104462407
MATTHEW CERVANTES
FONTANA, CA
NPI
1104462407
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-11-21
Last Update Date
2019-11-21
Business Address
MATTHEW CERVANTES
17053 FOOTHILL BLVD # B
FONTANA, CA 92335-3574
Phone number: 909-347-1344
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Mailing Address
MATTHEW CERVANTES
17053 FOOTHILL BLVD # B
FONTANA, CA 92335-3574
Phone number: 909-347-1344
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