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Individual
MRS. MARY ELLEN RAYMOND
Active
Individual
MRS. MARY ELLEN RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
002121
NY
367A00000X
Advanced Practice Midwife
53-64102-022
KS
Other
Enumeration date
03/09/2006
Last updated
09/08/2023
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