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Individual
MATILDA TOWNSEND
Active
Individual
MATILDA TOWNSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO 3443
FL
213EP1101X
Primary Podiatric Medicine Podiatrist
PO 3443
FL
213ES0131X
Foot Surgery Podiatrist
PO 3443
FL
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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