Individual
MS. DEBRA KAY MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
344 N CHERRY ST, EVART, MI 49631-9530
(231) 734-3403
Mailing address
344 N CHERRY ST, EVART, MI 49631-9530
(231) 734-3403
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703036203
MI
Other
Enumeration date
06/14/2010
Last updated
06/14/2010
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