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Individual

DEBRA A RUBIO-DERHAMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
F.N.P.

Contact information

Practice address
9000 AHWAHNEE DRIVE, YOSEMITE NATL PK, CA 95389
(209) 372-4637
Mailing address
PO BOX 1319, SALIDA, CA 95368-1319

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
383799
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
383799
MEDICAL LICENSE
CA
Enumeration date
08/19/2006
Last updated
07/08/2007
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