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Individual

MS. DEBRA J FOULKES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D. H. , A.S. ,B.A.

Contact information

Practice address
2801 GILEAD AVE APT A, ZION, IL 60099-2430
(847) 623-0381
Mailing address
2801 GILEAD AVE APT A, ZION, IL 60099-2430
(847) 623-0381

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
IL

Other

Enumeration date
05/15/2007
Last updated
07/08/2007
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