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Individual

MARTHA FUHRMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2505 MISSION DR, DIABETES EDUCATION, JEFFERSON CITY, MO 65109-9508
(573) 681-3163
Mailing address
2505 MISSION DR, DIABETES EDUCATION, JEFFERSON CITY, MO 65109-9508
(573) 681-3163

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
075768
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
44-0579850
DEPT OF TREASURY INTERNAL REVENUE SERVICE
MO
Enumeration date
01/26/2016
Last updated
01/26/2016
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