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Organization
WISE WOMEN CARE ASSOCIATES
Active
Organization
WISE WOMEN CARE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUGUSTINE COLEBROOK CPM, LDM (OWNER/DIRECTOR/MIDWIFE)
(541) 772-2291
Entity
Organization
Contact information
Practice address
400 CRATER LAKE AVE, MEDFORD, OR 97504-6808
(541) 772-2291
(541) 245-0417
Mailing address
400 CRATER LAKE AVE, MEDFORD, OR 97504-6808
(541) 772-2291
(541) 245-0417
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LDM10119128
OR
363LF0000X
Family Nurse Practitioner
200750100NP
OR
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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