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1255859914
CHARLETTE JEVON WITHERS
FONTANA, CA
NPI
1255859914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: CA 235902)
Enumeration Date
2017-09-01
Last Update Date
2021-12-06
Business Address
Mrs. CHARLETTE JEVON WITHERS CNM
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-457-5000
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Mailing Address
Mrs. CHARLETTE JEVON WITHERS CNM
13255 EARLY CRIMSON ST
EASTVALE, CA 92880-3117
Phone number: 951-314-4879
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