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Individual

DEBRA KRISTINE LOVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
20008 SHADOW ISLAND DR, SANTA CLARITA, CA 91351-5798
(818) 383-0395
Mailing address
20008 SHADOW ISLAND DR, SANTA CLARITA, CA 91351-5798
(818) 383-0395

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
159868
CA

Other

Enumeration date
10/17/2018
Last updated
10/17/2018
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