Deborah G Mastin LPN, MHPP

NPI 1629301791 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1629301791
Gender Female
Enumeration Date 09/08/2009
Last Updated 09/08/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
3111 S 70TH ST
FORT SMITH AR, 72903-5017, US
Phone (479) 452-6650
Fax (479) 452-5847
Business Location
PO BOX 11818
FORT SMITH AR, 72917-1818, US
Phone (479) 452-6650
Fax (479) 452-5847
Toxanomy
Taxonomy Code 164W00000X
License State Arkansas
License Number L20652
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According to our database, Deborah G Mastin LPN, MHPP NPI is 1629301791, taxonomy code is 164W00000X and license number is L20652, license state is located at Arkansas. Deborah G Mastin LPN, MHPP physically located at 3111 S 70th St, Fort Smith AR, 72903-5017. NPI Number Deborah G Mastin LPN, MHPP has the Individual type.

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1629301791 NPI number is provided on an as is basis without warranty of any kind. 1629301791 is maintained by the National Plan & Provider Enumeration System. The contents of Deborah G Mastin LPN, MHPP are for informational purposes only.