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1023408028
HEIDI ELIZABETH BACK
MENANDS, NY
NPI
1023408028
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Former Name
HEIDI ELIZABETH CARTER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: NY F002180)
Enumeration Date
2015-01-28
Last Update Date
2024-08-15
Business Address
MS. HEIDI ELIZABETH BACK CNM
46 GLENWOOD RD
MENANDS, NY 12204-2407
Phone number: 920-277-9036
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Mailing Address
MS. HEIDI ELIZABETH BACK CNM
46 GLENWOOD RD
MENANDS, NY 12204-2407
Phone number: 920-277-9036
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