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Individual

JULIANNE BAVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NMNP

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
076036528N5
OR

Other

Enumeration date
01/19/2007
Last updated
12/23/2009
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