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Individual
MRS. MARY CHRISTINE ALLTIZER
Active
Individual
MRS. MARY CHRISTINE ALLTIZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., BSN, MSM
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
R 0026787
OK
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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