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Individual

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Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPM, LDEM

Contact information

Practice address
448 W 600 S, PAYSON, UT 84651-2707
(801) 836-5410
(801) 335-8252
Mailing address
448 W 600 S, PAYSON, UT 84651-2707
(801) 836-5410
(801) 335-8252

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
11080961-3400
UT

Other

Enumeration date
02/27/2019
Last updated
02/27/2019
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