Individual
MRS. DEBRA ANN ILAOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
618 COLLEGE ST, SULPHUR SPRINGS, TX 75482-3119
(760) 532-9969
Mailing address
8001 S US HIGHWAY 75, SHERMAN, TX 75090-5707
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
895710
TX
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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