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1710429477
LOIS MAE MATTICE
SACRAMENTO, CA
NPI
1710429477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA 851000)
Enumeration Date
2016-11-12
Last Update Date
2016-11-12
Business Address
-- LOIS MAE MATTICE ATC PTA
6000 J ST
SACRAMENTO, CA 95819-2605
Phone number: 916-278-7548
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Mailing Address
-- LOIS MAE MATTICE ATC PTA
4501 CORNFIELD WAY
ELK GROVE, CA 95758-6076
Phone number: 916-425-4483
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