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Individual

MS. DEBORAH H. ROBERTSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, BC, FNP

Contact information

Practice address
#1 HOSP DR MC-11, DCO92.10, COLUMBIA, MO 65212-0001
(573) 884-9924
(573) 884-5735
Mailing address
4401 THORNBROOK TER, COLUMBIA, MO 65203-9741
(573) 234-1341
(573) 884-5735

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
078236
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
078236
APRN, BC, FNP
MO
Enumeration date
09/26/2007
Last updated
09/26/2007
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