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Individual

DEBRA JANE EGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, IBCLC

Contact information

Practice address
1627 SHIRE AVE, OCEANSIDE, CA 92057-5718
(228) 265-0740
Mailing address
1627 SHIRE AVE, OCEANSIDE, CA 92057-5718
(228) 265-0740

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
2645579
CA
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
264579
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
TRICARE
Enumeration date
05/21/2019
Last updated
05/21/2019
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