Individual
DEBRA NEWBOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
117 WEISBROOK LN, CARTERVILLE, IL 62918-2320
(618) 727-1977
Mailing address
117 WEISBROOK LN, CARTERVILLE, IL 62918-2320
(618) 727-1977
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
041259452
IL
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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