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Individual

DEBORAH WARREN MALONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHCNP

Contact information

Practice address
712 JAY ST, ASHER COMMUNITY HEALTH CENTER, FOSSIL, OR 97830
(541) 763-2725
Mailing address
712 JAY ST, ASHER COMMUNITY HEALTH CENTER, FOSSIL, OR 97830
(541) 763-2725

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
085075581N7 WHCNP PP
OR
363LW0102X
Women's Health Nurse Practitioner
085075581N7
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
124524
OR
Enumeration date
11/17/2006
Last updated
11/02/2012
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