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Individual

DEBORAH L VANBEUKERING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1998 HIGHWAY 51 S, COVINGTON, TN 38019-3623
(901) 476-1155
(901) 475-2940
Mailing address
1998 HIGHWAY 51 S, COVINGTON, TN 38019-3623
(901) 476-1155
(901) 475-2940

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
D01036
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3197637
TN
Enumeration date
05/05/2009
Last updated
05/05/2009
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