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Individual

DEBORAH NEWCUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR, MED

Contact information

Practice address
3103 E AIRLINE RD, VICTORIA, TX 77901-4546
(361) 575-6457
Mailing address
956 BENBOW RD, INEZ, TX 77968-3309
(361) 676-2704

Taxonomy

Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
101979
TX

Other

Enumeration date
03/31/2016
Last updated
03/31/2016
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