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1790135119
MEGAN DANIELLE BERGUM
RAVENSWOOD, WV
NPI
1790135119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
176B00000X Midwife
Additional Taxonomies
174N00000X Lactation Consultant, Non-RN
374J00000X Doula
Enumeration Date
2016-06-16
Last Update Date
2021-03-03
Business Address
MEGAN DANIELLE BERGUM DEM
10468 RAVENSWOOD RD
RAVENSWOOD, WV 26164-6145
Phone number: 304-482-4729
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Mailing Address
MEGAN DANIELLE BERGUM DEM
10468 RAVENSWOOD RD
RAVENSWOOD, WV 26164-6145
Phone number: 304-482-4729
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