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1649781279
JASMINE MATA
SAN DIEGO, CA
NPI
1649781279
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2017-10-23
Last Update Date
2022-07-12
Business Address
JASMINE MATA
4394 30TH ST
SAN DIEGO, CA 92104-1314
Phone number: 619-914-2522
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Mailing Address
JASMINE MATA
4394 30TH ST
SAN DIEGO, CA 92104-1314
Phone number: 619-914-2522
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