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Individual
DR. DEBORAH LOU SHEEHAN
Active
Individual
DR. DEBORAH LOU SHEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2009010253
MO
207Q00000X
Family Medicine Physician
3619
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100131490B
—
OK
05
—
1164410353
—
MO
05
—
177582003
—
AR
01
—
431560263
TRICARE WEST
—
01
—
500522075
MEDICARE GROUP PIN
OK
01
—
P00724816
RAILROAD MEDICARE
MO
Enumeration date
10/11/2005
Last updated
07/29/2019
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