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1710402268
MIRNA DE MATA
LOS ANGELES, CA
NPI
1710402268
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
227800000X Respiratory Therapist, Certified
(Licence: CA 17953)
Enumeration Date
2017-08-06
Last Update Date
2022-07-21
Business Address
MIRNA DE MATA
2051 MARENGO ST
LOS ANGELES, CA 90033
Phone number: 323-409-7928
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Mailing Address
MIRNA DE MATA
2051 MARENGO ST
LOS ANGELES, CA 90033-1352
Phone number: 323-409-7928
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