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Individual

RUSELLE SUE DEBONIS

Active
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Individual

RUSELLE SUE DEBONIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A059613
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275511230
—
IA
01
—
29120
BC/BS
IA
01
—
42137207611
JOHN DEERE
IA
01
—
P00819155
RR MEDICARE
IA
Enumeration date
01/09/2006
Last updated
06/24/2010
About Stedi
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