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1417722851
IVY ALLEN
RIGBY, ID
NPI
1417722851
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
176B00000X Midwife
(Licence: ID MID-154)
Enumeration Date
2023-11-15
Last Update Date
2023-11-15
Business Address
IVY ALLEN CPM, LM
3818 E 196 N
RIGBY, ID 83442-5670
Phone number: 608-863-1099
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Mailing Address
IVY ALLEN CPM, LM
3818 E 196 N
RIGBY, ID 83442-5670
Phone number: 608-863-1099
Copy
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