Individual
MACY DEBORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
704 E NELSON ST, BOWIE, TX 76230-3806
(940) 224-7650
Mailing address
704 E NELSON ST, BOWIE, TX 76230-3806
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
311992
TX
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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