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Individual
MRS. AMY LYNN MAUTNER
Active
Individual
MRS. AMY LYNN MAUTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
124157
LA
246ZC0007X
Surgical Assistant
SA0185
DC
363AS0400X
Surgical Physician Assistant
Primary
—
NULL
Other
Enumeration date
06/25/2013
Last updated
06/13/2020
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