Individual
DEBRA A KAUFFMAN FANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
36 SW NYE ST, NEWPORT, OR 97365-3821
(541) 265-6611
Mailing address
PO BOX 572, WALDPORT, OR 97394-0572
(541) 563-3781
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
OR
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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