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Individual

DEBORAH EARLEY MILLIKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
2352 BRUCE B DOWNS BLVD STE 204, WESLEY CHAPEL, FL 33544
(813) 994-1286
(813) 355-5031
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
21960
CA
363L00000X
Nurse Practitioner
Primary
9490929
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN616038
MEDI-CAL
CA
Enumeration date
08/06/2012
Last updated
07/23/2018
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