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Individual
DEBRA THERIOT
Active
Individual
DEBRA THERIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
60241
LA
364S00000X
Clinical Nurse Specialist
AP2474
AZ
Other
Enumeration date
07/28/2006
Last updated
12/12/2007
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