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1942975008
MATTHEW DOUGLAS ORTIZ
SACRAMENTO, CA
NPI
1942975008
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
222Z00000X Orthotist
(Licence: CA CO006280)
Enumeration Date
2021-08-11
Last Update Date
2021-08-18
Business Address
MATTHEW DOUGLAS ORTIZ CO
1248 32ND ST
SACRAMENTO, CA 95816-5210
Phone number: 916-452-5724
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Mailing Address
MATTHEW DOUGLAS ORTIZ CO
1248 32ND ST
SACRAMENTO, CA 95816-5210
Phone number: 916-452-5724
Copy
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