Individual
DEBORAH JESSURUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1031 GRANDIFLORA DR, LELAND, NC 28451-7453
(910) 371-0540
(910) 371-2463
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2606
NC
Other
Enumeration date
08/03/2018
Last updated
04/08/2022
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