Individual
DEBRA GORAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7223 LEE DEFOREST DR, COLUMBIA, MD 21046-3236
(443) 430-8312
Mailing address
1317 PARTRIDGE CT, OSHKOSH, WI 54904-8840
(623) 226-9429
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN175069
AZ
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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