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Individual
ABBY DAWN MUTIC
Active
Individual
ABBY DAWN MUTIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
2004021997
GA
367A00000X
Advanced Practice Midwife
2004021997
MO
Other
Enumeration date
01/09/2009
Last updated
02/08/2022
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