Individual
CHRISTINE MAUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 BLACKSTONE CT, GRANVILLE, OH 43023-8032
(740) 616-6903
Mailing address
100 BLACKSTONE CT, GRANVILLE, OH 43023-8032
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
020301
OH
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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