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Individual

DEBORAH COFIELD FORREST

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
250 MEMORIAL DR, SUITE B, LURAY, VA 22835-1000
(540) 743-9087
Mailing address
323 ALMOND DR, LURAY, VA 22835-3520
(540) 743-6517

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024158166
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0077899459
VA
Enumeration date
10/20/2005
Last updated
07/09/2007
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