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Individual
MATTIE GALLAGHER DUCOIN
Active
Individual
MATTIE GALLAGHER DUCOIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
MW206
FL
367A00000X
Advanced Practice Midwife
0024170143
VA
367A00000X
Advanced Practice Midwife
AP08269
LA
367A00000X
Advanced Practice Midwife
Primary
APRN9369604
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014267600
—
FL
05
—
07956874
—
MS
05
—
2418718
—
LA
01
—
KX359
MEDICARE
FL
01
—
Y0P9L
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/26/2007
Last updated
10/26/2020
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