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Individual
MRS. DEBORAH A COLLETTE-CROMP
Active
Individual
MRS. DEBORAH A COLLETTE-CROMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS.ED.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
595106051
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E8
ETIN
—
01
—
03760836
MMIS
—
01
—
AN72
ETIN
—
Enumeration date
02/24/2013
Last updated
08/01/2016
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