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1851966188
HEIDI YOUNG-BLACKGOAT
TUBA CITY, AZ
NPI
1851966188
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367A00000X Advanced Practice Midwife
Enumeration Date
2021-05-20
Last Update Date
2021-05-20
Business Address
HEIDI YOUNG-BLACKGOAT CNM
167 MAIN ST
TUBA CITY, AZ 86045
Phone number: 866-976-5941
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Mailing Address
HEIDI YOUNG-BLACKGOAT CNM
2483 W ROCK ISLAND AVE
FLAGSTAFF, AZ 86001-2550
Phone number: 928-814-7892
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