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Organization

PURE MILK MOM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GRACE NORTON MHI, RDN, IBCLC (PRESIDENT, FOUNDER)
(480) 416-7295
Entity
Organization

Contact information

Practice address
20526 N 94TH PL, SCOTTSDALE, AZ 85255-6634
(701) 446-8439
Mailing address
20526 N 94TH PL, SCOTTSDALE, AZ 85255-6634

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
174N00000X
Lactation Consultant (Non-RN)
Primary

Other

Enumeration date
04/20/2022
Last updated
04/20/2022
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