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1336819523
ANGELITO MATA
SAN JOSE, CA
NPI
1336819523
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-09-17
Last Update Date
2021-09-17
Business Address
ANGELITO MATA
4030 MOORPARK AVE STE 105
SAN JOSE, CA 95117-1848
Phone number: 669-205-1778
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Mailing Address
ANGELITO MATA
18726 S WESTERN AVE STE 408
GARDENA, CA 90248-3858
Phone number: 310-856-0800
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