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Individual
KATHLEEN A MACMAHON
Active
Individual
KATHLEEN A MACMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R-
MN
363LF0000X
Family Nurse Practitioner
Primary
22934
CA
363LF0000X
Family Nurse Practitioner
558798
CA
Other
Enumeration date
07/21/2009
Last updated
05/09/2014
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