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1164168530
MATTHEW JASON MAGALETTA
SAN DIEGO, CA
NPI
1164168530
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2022-05-09
Last Update Date
2023-11-07
Business Address
MATTHEW JASON MAGALETTA
928 BROADWAY
SAN DIEGO, CA 92101-5514
Phone number: 619-398-2156
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Mailing Address
MATTHEW JASON MAGALETTA
928 BROADWAY
SAN DIEGO, CA 92101-5514
Phone number:
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