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1912407032
MCKENZIE MATLOCK
SPRINGFIELD, MO
NPI
1912407032
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2018003866)
Enumeration Date
2018-02-15
Last Update Date
2024-11-25
Business Address
MCKENZIE MATLOCK PA
440 E TAMPA ST
SPRINGFIELD, MO 65806
Phone number: 417-831-0150
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Mailing Address
MCKENZIE MATLOCK PA
440 E TAMPA ST
SPRINGFIELD, MO 65806-1131
Phone number: 417-831-0150
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