Individual
MS. DEBRA LYNN BEVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
310 9TH ST, MANISTEE, MI 49660-2100
(231) 723-8299
(231) 723-8761
Mailing address
3760 SASS RD, MANISTEE, MI 49660-9514
(231) 723-3735
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
4704177267
MI
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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