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Individual

MRS. DEBRA D. COBBELDICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
59 BANGOR ST, HOULTON, ME 04730-1740
(207) 538-3701
(207) 528-2595
Mailing address
529 S PATTEN RD, PATTEN, ME 04765-3007
(207) 538-3701
(207) 528-2595

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003495
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011003495
VA STATE LICENSE
VA
Enumeration date
01/14/2011
Last updated
10/04/2021
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