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1235867623
KELLY RENE MATTIMOE
ODESSA, TX
NPI
1235867623
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1085712)
Enumeration Date
2022-08-12
Last Update Date
2022-08-12
Business Address
KELLY RENE MATTIMOE FNP
612 N WASHINGTON AVE STE 200
ODESSA, TX 79761-4436
Phone number: 432-332-9263
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Mailing Address
KELLY RENE MATTIMOE FNP
612 N WASHINGTON AVE STE 200
ODESSA, TX 79761-4436
Phone number: 432-332-9263
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