Individual
DEBORAH L AULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1245 S MILL ST, POB 231, NASHVILLE, IL 62263-2004
(618) 327-8119
(618) 327-8141
Mailing address
1245 S MILL ST, PO BOX 231, NASHVILLE, IL 62263-2004
(618) 327-8119
(618) 327-8141
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-001019
IL
Other
Enumeration date
09/15/2005
Last updated
03/20/2014
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