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1104215888
KATHERINE MATTISON
MORENO VALLEY, CA
NPI
1104215888
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA NP95001682)
Enumeration Date
2015-01-17
Last Update Date
2015-01-17
Business Address
-- KATHERINE MATTISON FNP-C
26520 CACTUS AVE
MORENO VALLEY, CA 92555-3927
Phone number: 951-486-4000
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Mailing Address
-- KATHERINE MATTISON FNP-C
11175 CAMPUS ST CSP 11015
LOMA LINDA, CA 92350-1700
Phone number:
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