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Individual

DEBORAH C SITTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
1302 N PACIFIC ST, MINEOLA, TX 75773-1022
(903) 569-5383
Mailing address
PO BOX 840698, DALLAS, TX 75284-6098
(903) 324-6450

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
541929
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
202067901
TX
05
202067902
TX
01
81N802
BCBS
TX
01
TIN PLUS 043
TRICARE
TX
Enumeration date
02/21/2006
Last updated
12/28/2015
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