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Individual

MRS. LAURA MICHELLE MAHAFFEY

Active
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Individual

MRS. LAURA MICHELLE MAHAFFEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.C.N.P.

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209017325
IL
363L00000X
Nurse Practitioner
Primary
RN309068
GA
363LA2100X
Acute Care Nurse Practitioner
AP07503
LA

Other

Enumeration date
08/01/2013
Last updated
08/11/2022
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