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Individual

DR. DEBRA A ERICKSONOWENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
1 RANDALL SQ, SUITE 205, PROVIDENCE, RI 02904-2709
(401) 331-6980
(401) 331-6181
Mailing address
1 RANDALL SQ, SUITE 205, PROVIDENCE, RI 02904-2709
(401) 331-6980
(401) 331-6181

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW00082
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
411803
UGS
RI
01
411813
UGS
RI
01
411833
UGS
RI
05
7007343
RI
Enumeration date
01/09/2007
Last updated
07/22/2013
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