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1497479646
VICTORIA LYNN MATA
FOWLER, CA
NPI
1497479646
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 16045-RAC)
Enumeration Date
2022-09-30
Last Update Date
2022-09-30
Business Address
VICTORIA LYNN MATA
311 E MERCED ST
FOWLER, CA 93625-2316
Phone number: 559-892-9452
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Mailing Address
VICTORIA LYNN MATA
311 E MERCED ST
FOWLER, CA 93625-2316
Phone number: 559-892-9452
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