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Individual

DEBRA LYNNE MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
11707 MOYER RD, WEBBERVILLE, MI 48892-9521
(517) 775-0700
Mailing address
11707 MOYER RD, WEBBERVILLE, MI 48892-9521
(517) 775-0700

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704275517
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
802969439
DEPARTMENT OF LICENSING AND REGULATION
MI
Enumeration date
02/15/2023
Last updated
02/15/2023
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