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Individual

MRS. DEBRA L IRVINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
260 ELM ST, CUMMING, GA 30040-2467
(770) 887-1668
(770) 781-9937
Mailing address
PO BOX 307, CUMMING, GA 30028-0307
(770) 887-1668
(770) 781-9937

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN168765
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN168765
GA REG NURSE LICENSE #
GA
Enumeration date
07/07/2005
Last updated
09/11/2007
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