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Individual
DEBORAH R PHILLIPS
Active
Individual
DEBORAH R PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
20750659A
IN
164W00000X
Licensed Practical Nurse
Primary
27050659A
IN
164W00000X
Licensed Practical Nurse
27050659A
KY
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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