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Individual

MISS DORA E MUTTART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
223 SENECA LANE, SAN CARLOS, AZ 85550
(928) 475-7123
Mailing address
5443 E PINAL CANYON RD, GLOBE, AZ 85501-4304
(928) 595-1159

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
RN052548
AZ
175F00000X
Naturopath
Primary
01-652

Other

Enumeration date
05/17/2007
Last updated
09/11/2025
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