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Individual

MS. TINA M GAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
200550130NP NMNP-PP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7102370000
WV
Enumeration date
06/09/2005
Last updated
11/04/2013
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