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1780441857
RODOLFO MATA
DOWNEY, CA
NPI
1780441857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-03-05
Last Update Date
2024-03-05
Business Address
RODOLFO MATA
11500 PARAMOUNT BLVD
DOWNEY, CA 90241-4530
Phone number: 562-923-4545
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Mailing Address
RODOLFO MATA
1519 257TH ST
HARBOR CITY, CA 90710-2737
Phone number: 213-258-9183
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