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Individual

MS. MARY JANE AUFDENGARTEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1302 HARVEY LN, ROLLA, MO 65401-4576
(573) 341-8518
(573) 596-0680
Mailing address
1302 HARVEY LN, ROLLA, MO 65401-4576
(573) 341-8518
(573) 596-0680

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
119175
MO

Other

Enumeration date
09/17/2010
Last updated
09/17/2010
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