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1548810237
BLANCA P MATA
SAN DIEGO, CA
NPI
1548810237
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133N00000X Nutritionist
Enumeration Date
2019-09-16
Last Update Date
2019-09-16
Business Address
BLANCA P MATA
1809 NATIONAL AVE
SAN DIEGO, CA 92113-2113
Phone number: 619-515-2526
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Mailing Address
BLANCA P MATA
1809 NATIONAL AVE
SAN DIEGO, CA 92113-2113
Phone number: 619-515-2526
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