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1154897999
MINA MATTA
VICTORVILLE, CA
NPI
1154897999
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2018-10-19
Last Update Date
2024-07-18
Business Address
MINA MATTA PROVIDER
16333 GREEN TREE BLVD UNIT 3364
VICTORVILLE, CA 92393-7135
Phone number: 760-930-1112
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Mailing Address
MINA MATTA PROVIDER
16333 GREEN TREE BLVD UNIT 3364
VICTORVILLE, CA 92393-7135
Phone number:
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