Individual
DEBORAH SUSANN LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
800 W BOISE CIR, STE 160, BROKEN ARROW, OK 74012-4906
(918) 994-9160
(918) 293-3169
Mailing address
800 W BOISE CIR, STE 160, BROKEN ARROW, OK 74012-4906
(918) 994-9160
(918) 296-3169
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1074
OK
Other
Enumeration date
06/03/2006
Last updated
08/27/2013
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