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Individual

TARA LESLIE STEPHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPM

Contact information

Practice address
7120 SILVER PONDS HTS, COLORADO SPRINGS, CO 80908-4765
(719) 330-1851
(719) 494-2238
Mailing address
7120 SILVER PONDS HTS, COLORADO SPRINGS, CO 80908-4765
(719) 330-1851
(719) 494-2238

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary

Other

Enumeration date
04/20/2012
Last updated
09/27/2013
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