Individual
DEBRA CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30 RIVER ST, GALETON, PA 16922-1203
(814) 435-2942
Mailing address
207 A FRAME RD, COUDERSPORT, PA 16915-8059
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA051928
PA
Other
Enumeration date
02/07/2007
Last updated
03/26/2021
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