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1255815478
LESLIE STORK
ITHACA, NY
NPI
1255815478
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: MI 4704306112)
Additional Taxonomies
176B00000X Midwife
Enumeration Date
2018-09-24
Last Update Date
2021-01-08
Business Address
LESLIE STORK CNM
20 ARROWOOD DR
ITHACA, NY 14850-1869
Phone number: 607-274-4322
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Mailing Address
LESLIE STORK CNM
20 ARROWOOD DR
ITHACA, NY 14850-1869
Phone number:
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