Individual
DEBRA SUE VIGRASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
736 NE JENSEN BEACH BLVD, JENSEN BEACH, FL 34957-4754
(772) 334-7929
Mailing address
736 NE JENSEN BEACH BLVD, JENSEN BEACH, FL 34957-4754
(772) 334-7929
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA21470
FL
Other
Enumeration date
04/20/2011
Last updated
04/20/2011
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