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Individual
MARY E MABRY
Active
Individual
MARY E MABRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN331819L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102058370
—
PA
Enumeration date
01/14/2008
Last updated
04/12/2011
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