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1578080719
JAMIE ELIZABETH MATLOCK
GLEN BURNIE, MD
NPI
1578080719
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C06695)
Enumeration Date
2017-08-28
Last Update Date
2023-04-25
Business Address
JAMIE ELIZABETH MATLOCK PA-C
1413 MADISON PARK DR FL 2
GLEN BURNIE, MD 21061-5613
Phone number: 410-691-3571
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Mailing Address
JAMIE ELIZABETH MATLOCK PA-C
1413 MADISON PARK DR
GLEN BURNIE, MD 21061-5613
Phone number: 410-691-3571
Copy
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