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Individual
MATTHEW T. VAN HOOSEN
Active
Individual
MATTHEW T. VAN HOOSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003666A
IN
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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