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1417388141
MARY KATHLEEN MATZKO
COLUMBIA, SC
NPI
1417388141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: SC 18599)
Enumeration Date
2013-12-05
Last Update Date
2021-09-16
Business Address
Mrs. MARY KATHLEEN MATZKO Nurse Practitioner
14 RICHLAND MEDICAL PARK DR STE 410
COLUMBIA, SC 29203-6878
Phone number: 803-434-8740
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Mailing Address
Mrs. MARY KATHLEEN MATZKO Nurse Practitioner
PO BOX 743904
ATLANTA, GA 30374-3904
Phone number: 803-296-7320
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