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Individual

MR. CHARLES MITCHELL MATKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
727 E FURGUSON RD, MT PLEASANT, TX 75455
(903) 572-0212
(903) 572-5321
Mailing address
PO BOX 1103, 727 EAST FERGUSON RD, MT PLEASANT, TX 75455
(903) 572-0212
(903) 572-5231

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC2841
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001144701
TX
Enumeration date
07/04/2006
Last updated
07/14/2010
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