SHAWNA KELLY-WICKERSHEIM

PRINEVILLE, OR
NPI1528499001
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy176B00000X Midwife
Enumeration Date2013-12-09
Last Update Date2013-12-09
Business Address
-- SHAWNA KELLY-WICKERSHEIM CPM
591 NE 2ND ST
PRINEVILLE, OR 97754-2014
Phone number: 541-550-6200
Mailing Address
-- SHAWNA KELLY-WICKERSHEIM CPM
591 NE 2ND ST
PRINEVILLE, OR 97754-2014
Phone number: 541-550-6200
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