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1982989869
DAPHNE A. MATLOCK
TUBA CITY, AZ
NPI
1982989869
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MS R517186)
Enumeration Date
2011-10-11
Last Update Date
2011-10-11
Business Address
Ms. DAPHNE A. MATLOCK RN
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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Mailing Address
Ms. DAPHNE A. MATLOCK RN
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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