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Individual

MRS. MAUREEN MATOS-PEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA CCC-A

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
01680
OH
237600000X
Audiologist-Hearing Aid Fitter
01680
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2367282
OH
05
2955628
OH
Enumeration date
05/04/2006
Last updated
07/10/2018
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