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Individual

MRS. DEBORA ELAINE DELUISE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
1429 ROUTE 300, NEWBURGH, NY 12550-2908
(845) 566-4266
Mailing address
16 BALSAM FIR LOOP, WAPPINGERS FALLS, NY 12590-7501
(845) 831-4765

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
048325-1
NY

Other

Enumeration date
04/05/2010
Last updated
04/05/2010
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