Individual
MAX R MABRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC/FA
Contact information
Practice address
1242 HOCKMAN PIKE, BLUEFIELD, VA 24605-9351
(276) 326-3890
(276) 322-1514
Mailing address
208 HIGHLAND AVE, PRINCETON, WI 24740
(304) 425-8058
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201001323
VA
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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