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Individual

DEBORAH LYNN MAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNS DNS

Taxonomy

Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
70000073A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200931480
IN
01
P01191771
RR MEDICARE PTAN
IN
Enumeration date
05/08/2008
Last updated
05/16/2016
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