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Individual
MARLEE MATLOCK LANGER
Active
Individual
MARLEE MATLOCK LANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-10170
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588334775
—
NC
Enumeration date
09/17/2021
Last updated
04/19/2023
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