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1265193080
JUSTIN ALEXANDER MATAR
RIVERSIDE, CA
NPI
1265193080
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95026056)
Enumeration Date
2022-01-04
Last Update Date
2024-01-22
Business Address
JUSTIN ALEXANDER MATAR
11850 PIERCE ST STE 200
RIVERSIDE, CA 92505-5184
Phone number: 951-465-3664
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Mailing Address
JUSTIN ALEXANDER MATAR
140 BREEDERS CUP PL
NORCO, CA 92860-5100
Phone number: 949-836-7487
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