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Individual
DEBORAH MIZE
Active
Individual
DEBORAH MIZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
200142114RN
NY
163WG0000X
General Practice Registered Nurse
Primary
200142114RN
OR
163WG0600X
Gerontology Registered Nurse
200142114RN
OR
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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