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Individual
MRS. MEGHAN RAE STORK
Active
Individual
MRS. MEGHAN RAE STORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
070704
OK
176B00000X
Midwife
659312
TX
367A00000X
Advanced Practice Midwife
Primary
659312
TX
367A00000X
Advanced Practice Midwife
R0070704
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080462703
—
TX
Enumeration date
08/22/2006
Last updated
04/16/2013
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