Individual
MRS. DEBORAH LEIGH HENRY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
(618) 256-6267
(618) 256-7931
Mailing address
2840 SMOKEHOUSE WAY, BELLEVILLE, IL 62221-7030
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/22/2005
Last updated
07/08/2007
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