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Individual

DEBORAH L GEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
200 VIRGIL AVE, MOUNT VERNON, IA 52314-1589
(319) 895-8841
(319) 895-8477
Mailing address
200 VIRGIL AVE, MOUNT VERNON, IA 52314-1589
(319) 895-8841
(319) 895-8477

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22635
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0223289
IA
01
080081138
RR MEDICARE
IA
05
1223289
IA
05
1225015142
IA
05
2223289
IA
05
3223289
IA
Enumeration date
12/30/2005
Last updated
05/16/2012
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