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1346836301
KASSANDRA MARYCELA DE MATTA
LOS ANGELES, CA
NPI
1346836301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-12-14
Last Update Date
2020-12-14
Business Address
KASSANDRA MARYCELA DE MATTA
4423 LONG BEACH AVE
LOS ANGELES, CA 90058-1922
Phone number: 323-360-2893
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Mailing Address
KASSANDRA MARYCELA DE MATTA
4423 LONG BEACH AVE
LOS ANGELES, CA 90058-1922
Phone number: 323-360-2893
Copy
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