Tyler Andrew Matlock

NPI 1033465307 - Counselor - 101YM0800X

NPI Details
NPI 1033465307
Gender Male
Enumeration Date 07/24/2012
Last Updated 07/24/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
3830 S CUSHMAN ST
FAIRBANKS AK, 99701-7530, US
Phone (907) 455-5304
Fax
Business Location
3830 S CUSHMAN ST
FAIRBANKS AK, 99701-7530, US
Phone (907) 455-5304
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Mr. Tyler Andrew Matlock NPI is 1033465307, taxonomy code is 101YM0800X Tyler Andrew Matlock physically located at 3830 S Cushman St, Fairbanks AK, 99701-7530. NPI Number Tyler Andrew Matlock has the Individual type.

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1033465307 NPI number is provided on an as is basis without warranty of any kind. 1033465307 is maintained by the National Plan & Provider Enumeration System. The contents of Tyler Andrew Matlock are for informational purposes only.