Individual
MRS. MAVIS JEAN PAUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
535 E 12TH ST, GIBBON, MN 55335
(507) 834-6874
(507) 834-6511
Mailing address
535 E 12TH ST, PO BOX 366, GIBBON, MN 55335
(507) 834-6874
(507) 834-6511
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R070896-2
MN
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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