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Individual

DEBORAH D DEMICCO

Active
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Individual

DEBORAH D DEMICCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
0101-039288
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5886112
VA
05
6027156
VA
Enumeration date
11/08/2005
Last updated
08/11/2011
Update your record

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