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1154160042
CARROLL CLAYTON MATTHEWS
LAKE CITY, FL
NPI
1154160042
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL 9219632)
Enumeration Date
2024-05-21
Last Update Date
2024-05-21
Business Address
CARROLL CLAYTON MATTHEWS
484 SW COMMERCE DR STE 101
LAKE CITY, FL 32025-1508
Phone number: 386-406-2577
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Mailing Address
CARROLL CLAYTON MATTHEWS
484 SW COMMERCE DR STE 101
LAKE CITY, FL 32025-1508
Phone number: 386-406-2577
Copy
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