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Individual
ROBERT EDWARD DEAKINS
Active
Individual
ROBERT EDWARD DEAKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2003024989
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
GOLDCARD
WV
Other
Enumeration date
07/22/2006
Last updated
09/22/2008
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