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Individual
MRS. DEBRA L IRVINE
Active
Individual
MRS. DEBRA L IRVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN168765
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN168765
GA REG NURSE LICENSE #
GA
Enumeration date
07/07/2005
Last updated
09/11/2007
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