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Individual

MRS. DEBORAH KAY HASTIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
73 W MARCH LANE, SUITE F, STOCKTON, CA 95207
(209) 952-5555
(209) 952-1907
Mailing address
73 W MARCH LANE, SUITE F, STOCKTON, CA 95207
(209) 952-5555
(209) 952-1907

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
271738
CA

Other

Enumeration date
07/28/2006
Last updated
07/08/2007
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