Individual
DEBORAH GRACE SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
514 4TH ST, SULTAN, WA 98294-9474
(360) 793-9800
Mailing address
514 4TH ST, SULTAN, WA 98294-9474
(360) 793-9800
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN00110573
WA
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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