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Individual

DEBRA BOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS RD

Contact information

Practice address
6229 E GARNET PL, PRESCOTT VALLEY, AZ 86314-2344
(928) 310-6141
Mailing address
6229 E GARNET PL, PRESCOTT VALLEY, AZ 86314-2344

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2228
MN

Other

Enumeration date
04/22/2025
Last updated
04/22/2025
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