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1780319095
PATRICK MATTOX
PORTSMOUTH, VA
NPI
1780319095
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 1-120808)
Enumeration Date
2022-07-20
Last Update Date
2022-07-20
Business Address
PATRICK MATTOX CRNA
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone number: 256-708-9789
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Mailing Address
PATRICK MATTOX CRNA
616 BAKER LOOP
CHESAPEAKE, VA 23320-3418
Phone number: 256-708-9789
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