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1275099061
TANYA NICOLE GRAVELL
PHOENIX, AZ
NPI
1275099061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: AZ 225524)
Additional Taxonomies
176B00000X Midwife
Enumeration Date
2019-02-16
Last Update Date
2023-06-26
Business Address
Mrs. TANYA NICOLE GRAVELL CNM
650 W MARYLAND AVE STE 1
PHOENIX, AZ 85013-1399
Phone number: 602-240-2401
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Mailing Address
Mrs. TANYA NICOLE GRAVELL CNM
PO BOX 748860
ATLANTA, GA 30374-8858
Phone number: 602-240-2401
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