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Individual

DEBRA J RAUMAKITA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
1813 W HARVARD AVE STE 201, ROSEBURG, OR 97471-2754
(541) 440-6390
(541) 440-6392
Mailing address
1813 W HARVARD AVE STE 201, ROSEBURG, OR 97471-2754
(541) 440-6390
(541) 440-6392

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2430
WI
363LF0000X
Family Nurse Practitioner
Primary
21504712NP-PP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41271700
WI
Enumeration date
08/03/2006
Last updated
09/24/2016
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