Individual
DEBORA DAWN DUFORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PWS
Contact information
Practice address
51600 HUNTINGTON RD, LA PINE, OR 97739-8887
(541) 536-3435
Mailing address
51600 HUNTINGTON RD, LA PINE, OR 97739-8887
(541) 536-3435
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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