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Individual

MISS DEBRA JOY KLIPPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSNNP

Contact information

Practice address
601 W 19TH ST, SUITE A, COSTA MESA, CA 92627-5060
(714) 922-4194
Mailing address
1467 DEAUVILLE PLACE, COSTA MESA, CA 92626
(714) 473-0280

Taxonomy

Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
543710
CA
363LA2200X
Adult Health Nurse Practitioner
543710
CA

Other

Enumeration date
09/30/2011
Last updated
02/15/2012
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