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1316641988
MARIELA IVON MATA
PACOIMA, CA
NPI
1316641988
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2355S0801X Specialist/Technologist, Speech-Language Assistant
Enumeration Date
2023-03-28
Last Update Date
2023-03-28
Business Address
MARIELA IVON MATA
13079 VAN NUYS BLVD
PACOIMA, CA 91331-2575
Phone number: 818-206-3353
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Mailing Address
MARIELA IVON MATA
17216 SATICOY ST # 141
VAN NUYS, CA 91406-2103
Phone number:
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