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Individual

LISA DEBERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
75 MINE DR, KINGWOOD, WV 26537-8357
(681) 668-7927
Mailing address
75 MINE DR, KINGWOOD, WV 26537-8357
(681) 668-7927

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
10/27/2025
Last updated
10/27/2025
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