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Individual
HARRIET PEARSON MALLICOAT
Active
Individual
HARRIET PEARSON MALLICOAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP CNM
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
45064
KS
363LF0000X
Family Nurse Practitioner
034959
MO
367A00000X
Advanced Practice Midwife
034959
MO
367A00000X
Advanced Practice Midwife
64080
KS
Other
Enumeration date
01/31/2006
Last updated
01/08/2008
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