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1811900558
LYDIA HERRERA-MATA
FRESNO, CA
NPI
1811900558
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Former Name
LYDIA HERRERA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A75245)
Enumeration Date
2006-08-14
Last Update Date
2020-01-16
Business Address
LYDIA HERRERA-MATA
2823 FRESNO ST
FRESNO, CA 93721-1324
Phone number: 559-499-6450
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Mailing Address
LYDIA HERRERA-MATA
2625 E DIVISADERO ST
FRESNO, CA 93721-1431
Phone number: 559-443-2682
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