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Individual

A. CELESTE KERSEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LM, CPM

Contact information

Practice address
32263 S KROPF RD, CANBY, OR 97013-8563
(503) 651-2627
(503) 651-1205
Mailing address
32263 S KROPF RD, CANBY, OR 97013-8563
(503) 651-2627
(503) 651-1205

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
0618856223
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000432
OR
Enumeration date
09/20/2006
Last updated
07/09/2007
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