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1720249295
FRED IGNACIO MATA
SAN JOSE, CA
NPI
1720249295
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2008-06-18
Last Update Date
2008-06-18
Business Address
Mr. FRED IGNACIO MATA
1885 LUNDY AVE STE 223
SAN JOSE, CA 95131-1887
Phone number: 408-503-7960
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Mailing Address
Mr. FRED IGNACIO MATA
1885 LUNDY AVE STE 223
SAN JOSE, CA 95131-1887
Phone number: 408-503-7960
Copy
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