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Individual

MRS. LISA AYN GONZALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MIDWIFE

Contact information

Practice address
517 WASHINGTON AVE, BELLEFONTAINE, OH 43311-1843
(937) 407-6906
Mailing address
517 WASHINGTON AVE, BELLEFONTAINE, OH 43311-1843
(937) 407-6906

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary

Other

Enumeration date
09/08/2022
Last updated
09/08/2022
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