Individual
MARY MAHURIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1929 W 21ST ST N, WICHITA, KS 67203-2106
(316) 660-7750
(316) 660-7851
Mailing address
934 N WATER ST, WICHITA, KS 67203-3838
(316) 660-7600
(316) 941-5075
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
128120
KS
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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