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Individual

MRS. CHERYL ANN CORRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CDM

Contact information

Practice address
728 GAFFNEY RD, SUITE 100, FAIRBANKS, AK 99701-4610
(907) 456-3719
Mailing address
728 GAFFNEY RD, SUITE 100, FAIRBANKS, AK 99701-4610
(907) 456-3719

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
AA21
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AA21
STATE LICENSE NUMBER
AK
05
NM0021
AK
Enumeration date
03/08/2007
Last updated
07/09/2007
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