AUDRIE KINGZETT

MEDFORD, OR
NPI1417346511
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy176B00000X Midwife
(Licence: OR  DEM-LD10166074)
Enumeration Date2015-01-13
Last Update Date2015-01-13
Business Address
-- AUDRIE KINGZETT CPM, LDEM
400 CRATER LAKE AVE
MEDFORD, OR 97504-6808
Phone number: 541-772-2291
Mailing Address
-- AUDRIE KINGZETT CPM, LDEM
3000 DELTA WATERS RD
MEDFORD, OR 97504-5840
Phone number: 541-261-3950
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