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1942087010
ANDREA MARIE ROLTGEN
HAUSER, ID
NPI
1942087010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
176B00000X Midwife
(Licence: ID MID-149)
Enumeration Date
2023-09-12
Last Update Date
2023-09-12
Business Address
MRS. ANDREA MARIE ROLTGEN CPM, LM
17632 N ADVENT LN
HAUSER, ID 83854-5431
Phone number: 208-416-1701
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Mailing Address
MRS. ANDREA MARIE ROLTGEN CPM, LM
17632 N ADVENT LN
HAUSER, ID 83854-5431
Phone number: 208-416-1701
Copy
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