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MRS. MAVIS JEAN PAUTZ RN
>> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1821162926
Individual Registrant:MRS. MAVIS JEAN PAUTZ RN
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
535 E 12TH ST GIBBON, MN 55335 US
Tel: 507-834-6874 Fax: 507-834-6511
Tel: 507-834-6874 Fax: 507-834-6511
Contact information for business:
535 E 12TH ST PO BOX 366 GIBBON, MN 55335 US
Tel: 507-834-6874 Fax: 507-834-6511
Tel: 507-834-6874 Fax: 507-834-6511
Registration Information:
NPI: 1821162926
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 163W00000X | Nursing Service Providers Registered Nurse | MN | R070896-2 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
