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1972692697
LAURA P MATTINGLY
FORT WORTH, TX
NPI
1972692697
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA03908)
Enumeration Date
2006-10-12
Last Update Date
2015-06-11
Business Address
LAURA P MATTINGLY PA
855 MONTGOMERY ST
FORT WORTH, TX 76107-2553
Phone number: 817-735-2363
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Mailing Address
LAURA P MATTINGLY PA
PO BOX 99335
FORT WORTH, TX 76199-0335
Phone number: 817-735-2363
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