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1003679846
JENASEE LORETTA SOUTH
SURPRISE, AZ
NPI
1003679846
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367A00000X Advanced Practice Midwife
Enumeration Date
2024-02-05
Last Update Date
2024-02-05
Business Address
JENASEE LORETTA SOUTH
14961 W BELL RD STE 175
SURPRISE, AZ 85374-3220
Phone number: 623-547-7205
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Mailing Address
JENASEE LORETTA SOUTH
312 DEON LN
IDAHO FALLS, ID 83401-6466
Phone number: 208-201-2256
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