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1952688913
JON DAVID MATSUMOTO
LOS ANGELES, CA
NPI
1952688913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 28835)
Enumeration Date
2011-11-04
Last Update Date
2022-03-16
Business Address
Mr. JON DAVID MATSUMOTO
522 S SAN PEDRO ST
LOS ANGELES, CA 90013-2102
Phone number: 562-867-7999
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Mailing Address
Mr. JON DAVID MATSUMOTO
522 S SAN PEDRO ST
LOS ANGELES, CA 90013-2102
Phone number: 562-867-7999
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