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1003499880
LORI ANN MARTIN
GOSHEN, IN
NPI
1003499880
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
176B00000X Midwife
(Licence: IN 09000372A)
Enumeration Date
2021-04-30
Last Update Date
2021-04-30
Business Address
LORI ANN MARTIN CNM
1929 W LINCOLN AVE
GOSHEN, IN 46526-5909
Phone number: 574-849-4646
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Mailing Address
LORI ANN MARTIN CNM
64444A STATE ROAD 19
GOSHEN, IN 46526-9421
Phone number: 574-849-4646
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