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Individual

SHARON CAMIRAY MCDOUGAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPM, RM

Contact information

Practice address
776 E PASEO DORADO DR, PUEBLO WEST, CO 81007-1154
(719) 251-5197
Mailing address
PO BOX 7573, PUEBLO WEST, CO 81007-0573
(719) 251-5197

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
115
CO

Other

Enumeration date
02/11/2010
Last updated
02/03/2011
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