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1083919583
MATHEW HOUSTON HAMMONS
JOPLIN, MO
NPI
1083919583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2012036269)
Enumeration Date
2011-01-14
Last Update Date
2021-06-09
Business Address
MATHEW HOUSTON HAMMONS PA-C
1102 W 32ND ST
JOPLIN, MO 64804-3503
Phone number: 417-347-1111
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Mailing Address
MATHEW HOUSTON HAMMONS PA-C
PO BOX 25608
SALT LAKE CITY, UT 84125-0608
Phone number: 206-320-4476
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