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1588307870
MATTHEW GOTAAS
SAN DIEGO, CA
NPI
1588307870
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-15
Last Update Date
2022-04-15
Business Address
MATTHEW GOTAAS
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105-1608
Phone number: 619-255-9155
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Mailing Address
MATTHEW GOTAAS
25715 VAN LEUVEN ST
LOMA LINDA, CA 92354-2584
Phone number:
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