TANYA ELISE MUDRICK

WINONA, MN
NPI1306981725
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy176B00000X Midwife
(Licence: MN  1016)
Additional Taxonomies176B00000X Midwife
(Licence: WI  15-049)
Enumeration Date2007-02-21
Last Update Date2007-11-28
Business Address
Ms. TANYA ELISE MUDRICK C.P.M., L.T.M., L.M.
50 W 2ND ST ROOM 108
WINONA, MN 55987-3440
Phone number: 507-474-0233
Mailing Address
Ms. TANYA ELISE MUDRICK C.P.M., L.T.M., L.M.
PO BOX 596
HOUSTON, MN 55943-0596
Phone number: 507-896-4985
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