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Individual

MS. MARY PATIRICA BOATWRIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
122 W BRADFORD ST, STANTON, MI 48888-9320
(989) 283-1172
(989) 283-1172
Mailing address
122 W BRADFORD ST, STANTON, MI 48888-9320
(989) 283-1172
(989) 283-1172

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
126428-30
WI
163WH0200X
Home Health Registered Nurse
Primary
4704191953
MI
163WH0200X
Home Health Registered Nurse
RN 9291185
FL

Other

Enumeration date
06/14/2011
Last updated
10/06/2014
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