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1295782886
DIANE MARIE MATTOCKS
SALT LAKE CITY, UT
NPI
1295782886
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 276672-1206)
Enumeration Date
2006-05-28
Last Update Date
2007-07-08
Business Address
Ms. DIANE MARIE MATTOCKS PA-C, MPAS
500 FOOTHILL DR
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
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Mailing Address
Ms. DIANE MARIE MATTOCKS PA-C, MPAS
500 FOOTHILL DR
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
Copy
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