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Individual
MS. DEBRA ALICE MABBUTT
Active
Individual
MS. DEBRA ALICE MABBUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.; PA-C
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M2852
ID
207Q00000X
Family Medicine Physician
M6006
ID
363A00000X
Physician Assistant
PA433
ID
363AM0700X
Medical Physician Assistant
PA-433
ID
Other
Enumeration date
09/21/2006
Last updated
12/30/2009
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