Search › Minnesota › 174H00000X
Jack Rayburn
NPI 1962126920 · on the registry since 2022
Practice
- Address
- 421 E Hickory St
Mankato, MN 56001 - Phone
- (507) 387-1666
- Organisation at this address
- Vine Faith In Action
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 174H00000X
174H00000X
- Sex
- Male
- Record last updated
- 2022-10-03
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 Minnesota