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Individual

DEBRA CALEB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2323 SE CUVIER ST, TECUMSEH, KS 66542-9442
(785) 224-4943
Mailing address
2323 SE CUVIER ST, TECUMSEH, KS 66542-9442

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
3747P1801X
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200546330A
KS
Enumeration date
08/30/2013
Last updated
08/30/2013
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