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Individual

DEBRA ANN SHEPHERD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
501 MIZE ST, LA FAYETTE, GA 30728-3346
(706) 638-5580
(706) 639-2071
Mailing address
196 MAPLE DR, SUMMERVILLE, GA 30747-1744
(706) 766-9076

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN231347
GA

Other

Enumeration date
07/31/2019
Last updated
07/31/2019
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