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1154645992
VIDA MIA RUIZ
BROCKTON, MA
NPI
1154645992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: MA 2268111)
Enumeration Date
2010-03-23
Last Update Date
2011-12-27
Business Address
-- VIDA MIA RUIZ CNM
63 MAIN ST 3RD FLOOR
BROCKTON, MA 02301-4042
Phone number: 508-559-6699
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Mailing Address
-- VIDA MIA RUIZ CNM
63 MAIN STREET 3RD FLOOR
BROCKTON, MA 02301
Phone number: 508-559-6699
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