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1376909242
JENNA MARIE MATTOCKS
ALEXANDRIA, MN
NPI
1376909242
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MN CNP 4319)
Enumeration Date
2016-01-07
Last Update Date
2024-10-21
Business Address
JENNA MARIE MATTOCKS PNP
610 30TH AVE W
ALEXANDRIA, MN 56308-3426
Phone number: 320-763-5123
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Mailing Address
JENNA MARIE MATTOCKS PNP
610 30TH AVE W
ALEXANDRIA, MN 56308-3426
Phone number: 320-763-5123
Copy
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