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1386270270
MICHAEL SCOTT MATTICE
FONTANA, CA
NPI
1386270270
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2020-03-23
Last Update Date
2020-03-23
Business Address
MICHAEL SCOTT MATTICE
14677 MERRILL AVE
FONTANA, CA 92335-4219
Phone number: 951-643-2340
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Mailing Address
MICHAEL SCOTT MATTICE
9075 FOOTHILL BLVD APT G24
RANCHO CUCAMONGA, CA 91730-3464
Phone number:
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