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Individual

DEBRA JEAN LUNDEEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 732-6590
Mailing address
5207 14TH AVENUE CT, MOLINE, IL 61265-3669
(309) 732-6590

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
041.433963
IL
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
058001
IA

Other

Enumeration date
12/07/2022
Last updated
12/07/2022
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