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1023310612
KAREN IRENE MAYNE
LOGAN, UT
NPI
1023310612
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: UT 00000)
Enumeration Date
2010-12-02
Last Update Date
2010-12-02
Business Address
-- KAREN IRENE MAYNE
90 E 200 N
LOGAN, UT 84321-4034
Phone number: 435-752-0750
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Mailing Address
-- KAREN IRENE MAYNE
625 S 300 E
BRIGHAM CITY, UT 84302-2910
Phone number: 435-723-3276
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