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Individual

MARY JANE KLINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1400 S DOBSON RD, MESA, AZ 85202-4707
(480) 512-3000
Mailing address
8180 E SHEA BLVD, UNIT 1033, SCOTTSDALE, AZ 85260-6570
(480) 998-2940

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN117658
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
044030
MO

Other

Enumeration date
06/26/2006
Last updated
08/05/2009
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