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1104875293
PATTY JO MATTOX
BALTIMORE, MD
NPI
1104875293
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MD R146293)
Enumeration Date
2006-05-08
Last Update Date
2013-01-25
Business Address
-- PATTY JO MATTOX C.R.N.P.
4940 EASTERN AVE
BALTIMORE, MD 21224-2735
Phone number: 410-550-5633
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Mailing Address
-- PATTY JO MATTOX C.R.N.P.
PO BOX 64264
BALTIMORE, MD 21264-4264
Phone number: 410-933-4397
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