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Individual

DONNA M GAU-JATA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-2007
Mailing address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-2007

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
NM-00031
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0819529
OH
01
214755
RN LICENSE
OH
01
NM-00031
CERTIFIED NURSE-MIDWIFE
OH
01
RX 00031
CERT. TO PRESCRIBE
OH
Enumeration date
02/04/2007
Last updated
08/05/2009
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