Individual
JASON CHIGORO LEE MABEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 HEALTHY WAY, OLIVIA, MN 56277-1117
(320) 523-1261
(320) 523-8349
Mailing address
1022 TREVINO ROAD, CLINTON, MO 64735
(660) 885-5058
(660) 885-8496
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1308
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
915815906
—
MO
Enumeration date
10/24/2006
Last updated
03/21/2020
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