Individual
JENNIFER S MAHURIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1600 MID RIVERS MALL, SAINT PETERS, MO 63376-4360
(636) 397-1222
(636) 278-1688
Mailing address
840 BORGIA LN, FLORISSANT, MO 63031-7212
(314) 921-4652
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2000174047
MO
Other
Enumeration date
01/11/2007
Last updated
04/08/2010
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