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1992004352
MADELINE FULCHER MATTERN
STATE COLLEGE, PA
NPI
1992004352
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP007526)
Enumeration Date
2011-03-23
Last Update Date
2011-03-23
Business Address
Ms. MADELINE FULCHER MATTERN NP
2520 GREEN TECH DR SUITE D
STATE COLLEGE, PA 16803-2300
Phone number: 814-231-4043
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Mailing Address
Ms. MADELINE FULCHER MATTERN NP
555 NITTANY RIDGE RD
HOWARD, PA 16841-4162
Phone number: 814-383-2461
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