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Organization

J EDWARD DEBOARD MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN DEBOARD MD (AGENT)
(808) 741-5646
Entity
Organization

Contact information

Practice address
1329 LUSITANA ST STE 102, HONOLULU, HI 96813-2401
(808) 533-1020
Mailing address
1342 ALOHA OE DR, KAILUA, HI 96734-4508
(808) 741-5646

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
08/14/2019
Last updated
08/14/2019
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