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1952600801
MICHELLE A MATLOCK
KETTERING, OH
NPI
1952600801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OH 50003242)
Enumeration Date
2011-03-17
Last Update Date
2021-01-13
Business Address
MICHELLE A MATLOCK PA-C
3700 SOUTHERN BLVD STE 300
KETTERING, OH 45429-1226
Phone number: 937-643-9299
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Mailing Address
MICHELLE A MATLOCK PA-C
3700 SOUTHERN BLVD STE 300
KETTERING, OH 45429-1226
Phone number: 937-643-9299
Copy
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