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Individual

MS. DEBORAH L LEEPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
907 RIVERGATE PKWY, SUITE C2020, GOODLETTSVILLE, TN 37072-2324
(800) 228-0249
(252) 222-3602
Mailing address
PO BOX 39, MOREHEAD CITY, NC 28557-0039
(800) 228-0249
(252) 222-3602

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
RN32198
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3002445
TNCARE-BC SELECT
TN
Enumeration date
10/27/2006
Last updated
07/08/2007
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