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Individual

DEBORAH L STEPHENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
522 N HANCOCK ST, OTTUMWA, IA 52501-4231
(641) 682-4594
(641) 682-2123
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(641) 682-4594
(641) 683-0801

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A-087722
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1134443849
IA
01
P01120963
RR MEDICARE
IA
Enumeration date
03/24/2010
Last updated
12/27/2017
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