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Individual
DEBORAH L FENTON
Active
Individual
DEBORAH L FENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2021024191
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2026035381
MO
Other
Enumeration date
05/15/2026
Last updated
10/02/2026
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