Individual
PEGGY SUE MASON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
835 JOHNSON ST, FAIRMONT, MN 56031-4523
(507) 238-8100
(507) 238-8642
Mailing address
4280 160TH ST, ESTHERVILLE, IA 51334-7598
(712) 362-5217
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R 133085-0
MN
Other
Enumeration date
10/24/2005
Last updated
07/08/2007
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