KIMBERLY TAI WISE

LEBANON, OR
NPI1134411788
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy176B00000X Midwife
Enumeration Date2011-05-13
Last Update Date2011-05-13
Business Address
Mrs. KIMBERLY TAI WISE DEM
966 CLEVELAND ST
LEBANON, OR 97355-4422
Phone number: 541-401-1667
Mailing Address
Mrs. KIMBERLY TAI WISE DEM
966 CLEVELAND ST
LEBANON, OR 97355-4422
Phone number: 541-401-1667
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