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Individual

MARISA MAHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP-BC

Contact information

Practice address
402 N KEENE ST, COLUMBIA, MO 65201-6986
(573) 499-6084
Mailing address
402 N KEENE ST, COLUMBIA, MO 65201-6986

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
2016012205
MO

Other

Enumeration date
09/01/2016
Last updated
01/11/2017
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