Individual
REBECCA MAHURIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
203 N GRAND ST, SALEM, MO 65560-1344
(573) 729-4103
(573) 729-4420
Mailing address
203 N GRAND ST, SALEM, MO 65560-1344
(573) 729-4103
(573) 729-4420
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
149563
MO
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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