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Individual

DEBORAH N WEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1101 HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-4800
(573) 884-0723
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
083671
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
425905304
MO
01
500026991
RR MEDICARE
MO
Enumeration date
05/05/2006
Last updated
08/09/2013
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