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1164002135
LICET IMBERT MATOS
BAKERSFIELD, CA
NPI
1164002135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-13
Last Update Date
2024-10-15
Business Address
LICET IMBERT MATOS MD
7800 NILES ST
BAKERSFIELD, CA 93306-4922
Phone number: 661-328-4284
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Mailing Address
LICET IMBERT MATOS MD
7800 NILES ST
BAKERSFIELD, CA 93306-4922
Phone number: 661-328-4284
Copy
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