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1144835729
MATTHEW PHILLIP MATA
LANCASTER, CA
NPI
1144835729
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-09-10
Last Update Date
2023-05-31
Business Address
MATTHEW PHILLIP MATA
506 W JACKMAN ST
LANCASTER, CA 93534-2531
Phone number: 661-726-2850
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Mailing Address
MATTHEW PHILLIP MATA
506 W JACKMAN ST
LANCASTER, CA 93534-2531
Phone number: 661-726-2850
Copy
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