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Individual

DEBORAH ANN STAMP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
4112 SW 50TH AVE, AMARILLO, TX 79109-6128
(806) 352-9992
(806) 352-9998
Mailing address
4112 SW 50TH AVE, AMARILLO, TX 79109-6128
(806) 352-9992
(806) 352-9998

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
254595
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001015056
TX
05
001015057
TX
01
012105
STATE LICENSURE
TX
05
175065501
TX
Enumeration date
06/23/2006
Last updated
05/20/2016
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