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1174707442
TRACY K MATALON
MERIDIAN, ID
NPI
1174707442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: ID NP-849A)
Enumeration Date
2007-12-21
Last Update Date
2011-04-28
Business Address
-- TRACY K MATALON MSN, FNP
3340 E GOLDSTONE WAY
MERIDIAN, ID 83642-1026
Phone number: 208-367-5189
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Mailing Address
-- TRACY K MATALON MSN, FNP
1600 N ROSE AVE
OXNARD, CA 93030-3722
Phone number: 805-988-2663
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