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Individual
ELIZABETH ELLSWORTH STIKA
Active
Individual
ELIZABETH ELLSWORTH STIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM, LDEM
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
9514053-3400
UT
Other
Enumeration date
02/01/2020
Last updated
02/01/2020
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