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1003942681
MARLA MATTOX
DAYTONA BEACH, FL
NPI
1003942681
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: FL RN9202232)
Enumeration Date
2007-02-26
Last Update Date
2007-07-08
Business Address
-- MARLA MATTOX RN
1220 WILLIS AVE
DAYTONA BEACH, FL 32114-2810
Phone number: 386-236-3194
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Mailing Address
-- MARLA MATTOX RN
4130 FALLING LEAF DR
NEW SMYRNA BEACH, FL 32168-9107
Phone number: 386-236-3194
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