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1316134851
MICHELE LEE MATLOCK
WACO, TX
NPI
1316134851
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TX PA01063)
Enumeration Date
2007-09-28
Last Update Date
2021-07-07
Business Address
MICHELE LEE MATLOCK M.S., PA-C
100 HILLCREST MEDICAL BLVD
WACO, TX 76712-8897
Phone number: 254-202-2000
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Mailing Address
MICHELE LEE MATLOCK M.S., PA-C
PO BOX 844658
DALLAS, TX 75284-4658
Phone number:
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