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Individual

MRS. DEBRA PEDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNFA

Contact information

Practice address
1214 HOSPITAL ST, GREENVILLE, MS 38703-3213
(662) 335-9283
(662) 334-6989
Mailing address
1214 HOSPITAL ST, GREENVILLE, MS 38703-3213
(662) 335-9283
(662) 334-6989

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
R668443
MS

Other

Enumeration date
12/10/2009
Last updated
12/10/2009
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