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1114371549
MATTHEW WI
FONTANA, CA
NPI
1114371549
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2016-04-22
Last Update Date
2016-04-22
Business Address
-- MATTHEW WI M.D.
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-5626
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Mailing Address
-- MATTHEW WI M.D.
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-5626
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