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1104155837
BROOKE OLIVIA ORTH
LACEY, WA
NPI
1104155837
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175M00000X Midwife, Lay
(Licence: WA 602573980)
Enumeration Date
2009-12-08
Last Update Date
2009-12-08
Business Address
Mrs. BROOKE OLIVIA ORTH
3709 APOLLO ST SE
LACEY, WA 98503-7137
Phone number: 360-556-4456
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Mailing Address
Mrs. BROOKE OLIVIA ORTH
3709 APOLLO ST SE
LACEY, WA 98503-7137
Phone number: 360-556-4456
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