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1316790991
AMANDA MATA
BAKERSFIELD, CA
NPI
1316790991
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: CA 4294)
Enumeration Date
2024-04-11
Last Update Date
2024-04-11
Business Address
AMANDA MATA
11614 MARAZION HILL CT
BAKERSFIELD, CA 93311-9497
Phone number: 805-366-9205
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Mailing Address
AMANDA MATA
11614 MARAZION HILL CT
BAKERSFIELD, CA 93311-9497
Phone number: 805-366-9205
Copy
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