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1750935961
RAFAEL ANGEL MATOS
CHULA VISTA, CA
NPI
1750935961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 175764-i)
Enumeration Date
2019-07-25
Last Update Date
2019-07-25
Business Address
RAFAEL ANGEL MATOS CATC-I
73 N 2ND AVE STE B
CHULA VISTA, CA 91910-1124
Phone number: 619-755-3513
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Mailing Address
RAFAEL ANGEL MATOS CATC-I
73 N 2ND AVE STE B
CHULA VISTA, CA 91910-1124
Phone number: 619-755-3513
Copy
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