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1942904859
MATTHEW BANIQUED
SAN DIEGO, CA
NPI
1942904859
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-27
Last Update Date
2023-03-27
Business Address
MATTHEW BANIQUED
200 W ARBOR DR
SAN DIEGO, CA 92103-9000
Phone number: 619-543-6222
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Mailing Address
MATTHEW BANIQUED
17204 IBEX AVE
CERRITOS, CA 90703-2738
Phone number: 562-484-4829
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