Individual
DEBRA ANN MARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 S MADDOX AVE, DUMAS, TX 79029-5720
(806) 886-6374
Mailing address
1306 POTTER ST, BORGER, TX 79007-2034
(806) 886-6374
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
210036
TX
Other
Enumeration date
02/18/2018
Last updated
02/18/2018
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