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Individual

CHRISTINE MARIE MAHONEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
(480) 472-1812
(480) 472-1888
Mailing address
16404 N SCORPION DR, FOUNTAIN HILLS, AZ 85268-1500
(480) 816-9543

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN071489
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
796675
AZ
Enumeration date
04/12/2007
Last updated
07/08/2007
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