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Individual

TESA LENEE LUBANS DEHAVEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LM CPM

Contact information

Practice address
120 TAYLOR STREET, WEAVERVILLE, CA 96093
(303) 845-0630
(530) 503-9803
Mailing address
PO BOX 585, DOUGLAS CITY, CA 96024-0585
(303) 845-0630
(530) 503-9803

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary

Other

Enumeration date
12/03/2021
Last updated
12/03/2021
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