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1700354669
EDY O MATIAS JOSE
LOS ANGELES, CA
NPI
1700354669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-11-08
Last Update Date
2018-11-08
Business Address
EDY O MATIAS JOSE
679 S NEW HAMPSHIRE AVE
LOS ANGELES, CA 90005-1355
Phone number: 213-385-5100
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Mailing Address
EDY O MATIAS JOSE
679 S NEW HAMPSHIRE AVE
LOS ANGELES, CA 90005-1355
Phone number: 213-385-5100
Copy
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