Individual
NINA ROSE DUNAVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
210 E. JACLSON, CARBONDALE, IL 62901
(618) 303-1800
Mailing address
210 E JACKSON ST, CARBONDALE, IL 62901-1502
(618) 303-1800
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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