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Individual

DEBRA KAY PATTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2110 CEDARCREST DR, CARROLLTON, TX 75007-5707
(214) 507-7471
Mailing address
2110 CEDARCREST DR, CARROLLTON, TX 75007-5707
(214) 507-7471

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
578159
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
578159
REGISTERED NURSING LICENSE
TX
Enumeration date
05/18/2016
Last updated
05/18/2016
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