Individual
MS. DEBORAH HAYNES MASHBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
140 DAMERON AVE, KNOXVILLE, TN 37917-6413
(865) 215-5080
(865) 215-5088
Mailing address
2506 DAYTON ST, KNOXVILLE, TN 37921-7031
(865) 215-5376
(865) 215-5088
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LPN0000056242
TN
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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