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1568940294
JENNIFER MENDOZA MATA
YAKIMA, WA
NPI
1568940294
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Former Name
JENNIFER MORALES MATA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-08-03
Last Update Date
2020-03-02
Business Address
JENNIFER MENDOZA MATA
402 S 4TH AVE
YAKIMA, WA 98902-3546
Phone number: 509-575-4084
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Mailing Address
JENNIFER MENDOZA MATA
PO BOX 959
YAKIMA, WA 98907-0959
Phone number:
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