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1134705635
TATIANA MATA
GRASS VALLEY, CA
NPI
1134705635
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2021-03-23
Last Update Date
2021-03-23
Business Address
TATIANA MATA
714 W MAIN ST
GRASS VALLEY, CA 95945-6410
Phone number: 530-477-9800
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Mailing Address
TATIANA MATA
714 W MAIN ST
GRASS VALLEY, CA 95945-6410
Phone number: 530-477-9800
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