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Individual
MARY R MAYNOR
Active
Individual
MARY R MAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC-LRN, IBCLC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
737276
TX
163WL0100X
Lactation Consultant (Registered Nurse)
IBCLC # 11117120
TX
163WN0003X
Low-Risk Neonatal Registered Nurse
C-LRN #VSHA4A4004B
TX
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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