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Individual
CAROLYN SUE MATULICH
Active
Individual
CAROLYN SUE MATULICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-A
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
80045
TX
237600000X
Audiologist-Hearing Aid Fitter
80045
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188232602
—
TX
01
—
P00812640
RAILROAD
—
Enumeration date
04/16/2007
Last updated
03/02/2012
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