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Individual

JATH K. MCKUHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BSN, RN

Contact information

Practice address
AZ HWY 86 & ROUTE 19, SELLS, AZ 85634-9901
(520) 383-7200
Mailing address
614 RAMBIN RD, STONEWALL, LA 71078-9494
(318) 617-1778

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
151000
LA

Other

Enumeration date
10/10/2023
Last updated
10/10/2023
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