Steven Michael Mahon I
Technician, Attendant Care Provider in Edmond, OK. Individual provider (NPI-1).
NPI number1376145136
StatusActive
Last updated in NPPESNov 16, 2020
Details
- NPI
- 1376145136
- Entity type
- Individual (NPI-1)
- Name
- Steven Michael Mahon I
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 16, 2020
- Certification date
- Oct 10, 2020
- Last updated
- Nov 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
501 W 15th St Apt 77Edmond, OK 73013-3647
Phone 405-906-6324
Mailing address
23 E Thatcher StEdmond, OK 73034-3664
Phone 405-924-6920
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All 7 Attendant Care Provider providers in Edmond · All 5,217 providers in Edmond
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