Individual
PATTY LOU MABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
109 LONE STAR TOWER RD, BONNIEVILLE, KY 42713-8444
(270) 528-6333
Mailing address
109 LONE STAR TOWER RD, BONNIEVILLE, KY 42713-8444
(270) 528-6333
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
SA180
KY
Other
Enumeration date
12/30/2008
Last updated
12/30/2008
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