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Individual

MRS. DEBORAH BUTCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
51600 HUNTINGTON RD, LA PINE, OR 97739-8887
(541) 536-3435
Mailing address
147532 GRACIES RD, GILCHRIST, OR 97737

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
200930045LPN
OR

Other

Enumeration date
08/10/2020
Last updated
08/10/2020
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