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Individual
DEBRA ANNE BOURNE
Active
Individual
DEBRA ANNE BOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
MT199736
PA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
52551
KY
2086S0105X
Surgery of the Hand (Surgery) Physician
52551
KY
2086S0122X
Plastic and Reconstructive Surgery Physician
52551
KY
Other
Enumeration date
08/02/2011
Last updated
06/05/2020
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