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1790314714
MATTHEW SHIMAZU
SAN DIEGO, CA
NPI
1790314714
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2020-04-02
Last Update Date
2020-11-19
Business Address
MATTHEW SHIMAZU
3132 JEFFERSON ST
SAN DIEGO, CA 92110-4421
Phone number: 619-683-3100
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Mailing Address
MATTHEW SHIMAZU
1260 MORENA BLVD STE 100
SAN DIEGO, CA 92110-3850
Phone number:
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