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Individual

CHRISTOPHER PAUL GENE MAUTNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2542 E MONTE VISTA DR, TUCSON, AZ 85716-1829
(520) 400-6298
Mailing address
2542 E MONTE VISTA DR, TUCSON, AZ 85716-1829
(520) 400-6298

Taxonomy

Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
2427590
AZ

Other

Enumeration date
01/04/2012
Last updated
01/04/2012
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