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1164961892
JACOB MATADI
MINNEAPOLIS, MN
NPI
1164961892
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-02-14
Last Update Date
2017-02-14
Business Address
-- JACOB MATADI
1100 WASHINGTON AVE S STE 102
MINNEAPOLIS, MN 55415-1281
Phone number: 612-314-0349
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Mailing Address
-- JACOB MATADI
1100 WASHINGTON AVE S STE 102
MINNEAPOLIS, MN 55415-1281
Phone number:
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