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Individual

MRS. DEBORAH L GATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CERTIFIED ORTHOTIST

Contact information

Practice address
2320 E MAIN ST, VENTURA, CA 93003-2602
(805) 643-3537
(805) 643-3568
Mailing address
2320 E MAIN ST, VENTURA, CA 93003-2602
(805) 643-3537
(805) 643-3568

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C13521
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
XA1352100
CA
Enumeration date
04/14/2006
Last updated
07/08/2007
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