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1730774019
KIM R MATA
BOTHELL, WA
NPI
1730774019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-03-08
Last Update Date
2021-03-08
Business Address
KIM R MATA
19204 N CREEK PKWY STE 110
BOTHELL, WA 98011-8009
Phone number: 818-241-6780
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Mailing Address
KIM R MATA
1055 E COLORADO BLVD STE 560
PASADENA, CA 91106-2380
Phone number: 818-241-6780
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