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Individual

DANA MARIE CHURNESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CLC, CPM, CD(DONA)

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
00016821
WI
174N00000X
Lactation Consultant (Non-RN)
MN
176B00000X
Midwife
Primary
147
WI

Other

Enumeration date
02/29/2016
Last updated
02/29/2016
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