Individual
DEBORAH LEE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 TIMBER CT APT 112, TERRELL, TX 75160-2331
(608) 566-4707
Mailing address
201 TIMBER CT APT 112, TERRELL, TX 75160-2331
(608) 566-4707
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
546595
TX
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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