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1053602052
JESSICA ELLEN MAIRS
GRASS VALLEY, CA
NPI
1053602052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
176B00000X Midwife
(Licence: CA LM300)
Enumeration Date
2011-04-25
Last Update Date
2011-04-25
Business Address
-- JESSICA ELLEN MAIRS LM, CPM
10449 NO NAME DR
GRASS VALLEY, CA 95945-4509
Phone number: 925-457-4787
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Mailing Address
-- JESSICA ELLEN MAIRS LM, CPM
10449 NO NAME DR
GRASS VALLEY, CA 95945-4509
Phone number: 925-457-4787
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