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1326423518
MATTHEW CONWAY BUMPASS
LOS ANGELES, CA
NPI
1326423518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-07-29
Last Update Date
2015-07-29
Business Address
Mr. MATTHEW CONWAY BUMPASS
450 BAUCHET ST.
LOS ANGELES, CA 90012
Phone number: 213-893-5091
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Mailing Address
Mr. MATTHEW CONWAY BUMPASS
450 BAUCHET ST
LOS ANGELES, CA 90012-2907
Phone number: 213-893-5091
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