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Individual

CATHERINE R MATISI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
2515 WASHINGTON BLVD, BELPRE, OH 45714-1957
(740) 423-4225
(740) 423-4228
Mailing address
2515 WASHINGTON BLVD, BELPRE, OH 45714-1957
(740) 423-4225
(740) 423-4228

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
34005440
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2455669
OH
Enumeration date
07/19/2006
Last updated
07/08/2007
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