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1164891321
EMLIA MEGTALEENA SMITH
PORTLAND, OR
NPI
1164891321
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
176B00000X Midwife
(Licence: OR DEM-LD-10170627)
Enumeration Date
2015-09-17
Last Update Date
2015-09-17
Business Address
-- EMLIA MEGTALEENA SMITH LDM, CPM
1424 NE 74TH AVE
PORTLAND, OR 97213-6123
Phone number: 503-805-1143
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Mailing Address
-- EMLIA MEGTALEENA SMITH LDM, CPM
1424 NE 74TH AVE
PORTLAND, OR 97213-6123
Phone number: 503-805-1143
Copy
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