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1003181173
GARY WAYNE MATRAVERS
STOCKTON, UT
NPI
1003181173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2083X0100X Preventive Medicine, Occupational Medicine
(Licence: UT 169591-1205)
Enumeration Date
2012-03-21
Last Update Date
2012-03-21
Business Address
Dr. GARY WAYNE MATRAVERS MD
11600 STARK RD
STOCKTON, UT 84071-9712
Phone number: 435-833-7796
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Mailing Address
Dr. GARY WAYNE MATRAVERS MD
11600 STARK RD
STOCKTON, UT 84071-9712
Phone number: 435-833-7796
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