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1164756243
BRENNA L TATE
WORTHINGTON, MN
NPI
1164756243
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Former Name
BRENNA L SMALLFIELD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: MN R192172-2)
Enumeration Date
2009-09-23
Last Update Date
2010-01-18
Business Address
-- BRENNA L TATE CNM
1680 DIAGONAL RD
WORTHINGTON, MN 56187-1008
Phone number: 507-372-3800
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Mailing Address
-- BRENNA L TATE CNM
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number:
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