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1013946342
JODY KAYE MATLOCK
MONROE, NC
NPI
1013946342
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 103793)
Enumeration Date
2006-06-30
Last Update Date
2007-07-08
Business Address
-- JODY KAYE MATLOCK MPA-C
1107 REYNOLDS ST
MONROE, NC 28112-4351
Phone number: 704-289-8220
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Mailing Address
-- JODY KAYE MATLOCK MPA-C
1107 REYNOLDS ST
MONROE, NC 28112-4351
Phone number: 704-289-8220
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