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1316185317
RYAN A MATLOCK
LONG BEACH, CA
NPI
1316185317
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2009-01-28
Last Update Date
2011-08-19
Business Address
Mr. RYAN A MATLOCK
4300 LONG BEACH BLVD
LONG BEACH, CA 90807-2011
Phone number: 310-783-4677
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Mailing Address
Mr. RYAN A MATLOCK
7431 COLBY CIR
WESTMINSTER, CA 92683-6157
Phone number: 714-244-9672
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