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1164028403
MICAELA LARA FERNANDES
MESA, AZ
NPI
1164028403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
Enumeration Date
2020-12-10
Last Update Date
2020-12-10
Business Address
MICAELA LARA FERNANDES CNM
2045 S VINEYARD STE 136
MESA, AZ 85210-6891
Phone number: 480-565-2165
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Mailing Address
MICAELA LARA FERNANDES CNM
51 E MONTEREY WAY
PHOENIX, AZ 85012-2616
Phone number: 480-565-2165
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