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Individual

MARY Y MASSON

Active
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Individual

MARY Y MASSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
RN046593-AP03532
LA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
AP03532
LA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
RN046593
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04434717
MS
05
1152200
LA
Enumeration date
07/23/2006
Last updated
01/29/2008
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