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Individual

MRS. DEBRA DIANE STEPHENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
716 E BELLA VISTA ST, LAKELAND, FL 33805-3009
(863) 683-6504
(863) 688-9292
Mailing address
716 E BELLA VISTA ST, LAKELAND, FL 33805-3009
(863) 683-6504
(863) 688-9292

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
02/27/2007
Last updated
07/09/2007
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