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Individual

MRS. SARAH JEAN MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPM, LM, CPM, BSM

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
285-49
WI
176B00000X
Midwife
Primary
295.000007
IL
176B00000X
Midwife
CPM0005
IA

Other

Enumeration date
03/31/2020
Last updated
02/24/2025
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