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1497228373
DIAMOND MATAUTIA
SAN MATEO, CA
NPI
1497228373
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-01-03
Last Update Date
2019-01-03
Business Address
DIAMOND MATAUTIA
202 E BELLEVUE AVE
SAN MATEO, CA 94401-2305
Phone number: 650-343-8401
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Mailing Address
DIAMOND MATAUTIA
202 E BELLEVUE AVE
SAN MATEO, CA 94401-2305
Phone number:
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