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1316720063
DESERAY MATA
LANCASTER, CA
NPI
1316720063
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-08-16
Last Update Date
2024-01-24
Business Address
DESERAY MATA
44226 10TH ST W
LANCASTER, CA 93534-4134
Phone number: 661-942-4719
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Mailing Address
DESERAY MATA
17003 ZION DR
SANTA CLARITA, CA 91387-8808
Phone number: 661-526-9485
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