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Individual

PENNY DEE DEBUHR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.H.

Contact information

Practice address
1789 ELM ST, SUITE A, DUBUQUE, IA 52001-3638
(563) 690-2850
(563) 557-8488
Mailing address
1789 ELM ST, SUITE A, DUBUQUE, IA 52001-3638
(563) 690-2850
(563) 557-8488

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
2952016
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03453
IOWA LICENSE
IA
01
2952016
WISCONSIN LICENSE
WI
05
33806800
WI
Enumeration date
07/08/2008
Last updated
07/08/2008
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