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Individual

DR. MARIANNE MATZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, GNP-BC, FAAN

Contact information

Practice address
800 NE 10TH ST, OKLAHOMA CITY, OK 73104-5418
(405) 271-4385
(405) 271-7228
Mailing address
1122 NE 13TH ST, OKLAHOMA CITY, OK 73117-1039
(405) 271-4385
(405) 271-7228

Taxonomy

Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
R0082425
OK
363LG0600X
Gerontology Nurse Practitioner
Primary
82425
OK

Other

Enumeration date
07/23/2008
Last updated
04/21/2014
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