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Individual

MARY F. JOCIUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
808 OFFICE PARK CIR, STE 300, LEWISVILLE, TX 75057-3156
(866) 795-9045
(469) 671-5064
Mailing address
808 OFFICE PARK CIR, STE 300, LEWISVILLE, TX 75057-3156
(866) 795-9045
(469) 671-5064

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
111985
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
44351700
WI
Enumeration date
02/03/2006
Last updated
09/06/2007
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