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Shauna Mucklow
NPI 1669764544 · on the registry since 2011 · sole proprietor
Practice
- Address
- 2304 Central Ave
Kearney, NE 68847 - Phone
- (308) 237-3044
- Fax
- (308) 237-3051
- Organisation at this address
- Time For Baby
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 171W00000X
171W00000X
- Licence states on file
- NE
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-05-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska