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Individual

TINA CATHELYN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
209-013475
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
IA
05
PENDING
IL
Enumeration date
11/17/2015
Last updated
11/17/2015
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