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Individual

DR. DEBORAH CHRISTINE HENRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
11 BALBOA CV, NEWPORT BEACH, CA 92663-3226
(626) 390-3125
(949) 645-8788
Mailing address
PO BOX 3545, NEWPORT BEACH, CA 92659-8545
(626) 390-3125
(949) 645-8788

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
175365
NY
207T00000X
Neurological Surgery Physician
Primary
A53188
CA
207T00000X
Neurological Surgery Physician
H1968
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A531880
CA
Enumeration date
07/25/2006
Last updated
07/08/2007
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