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NPI Profile for TERRY L MATTISON in BAKERSFIELD, CA.
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI # | 1053546135 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 05/19/2009 | |
| Last updated | 05/19/2009 - About 17 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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TERRY L MATTISON
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TERRY L MATTISON