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Individual

MS. DEBRA A ADAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BA, LVN

Contact information

Practice address
72 MOODY CT STE 201, THOUSAND OAKS, CA 91360-7427
(805) 777-3505
(805) 777-3574
Mailing address
521 EVA ST, VENTURA, CA 93003-4717
(805) 302-7677

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN220938
CA

Other

Enumeration date
01/24/2012
Last updated
01/24/2012
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