Individual
KAREN IRENE MAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90 E 200 N, LOGAN, UT 84321-4034
(435) 752-0750
(435) 723-4851
Mailing address
625 S 300 E, BRIGHAM CITY, UT 84302-2910
(435) 723-3276
(435) 723-8299
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
00000
UT
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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