Department of Professional and Financial Regulation
Board of Nursing
MALLORY RAE PROVOST
Nursing - Registered Nurse
License number
RN55275
Date granted
06/23/2008
Date expires
12/01/2015
Class
Nursing - Registered Nurse
Status
Active
Address
85 E RIVER RD, SKOWHEGAN, ME 04976-4523
nursingmaine.org
ID 22560537
LAST UPDATED 2024-04-11 13:26:57 UTC
LAST UPDATED 2024-04-11 13:26:57 UTC
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