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1952411977
MICHAEL TRAE MATTISON
LUBBOCK, TX
NPI
1952411977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: TX K4741)
Enumeration Date
2006-08-30
Last Update Date
2022-12-16
Business Address
Dr. MICHAEL TRAE MATTISON M.D.
410 N UTICA AVE
LUBBOCK, TX 79416-3035
Phone number: 806-776-1098
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Mailing Address
Dr. MICHAEL TRAE MATTISON M.D.
410 N UTICA AVE
LUBBOCK, TX 79416-3035
Phone number: 806-776-1098
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