Individual
DEBORAH ANN BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
611 S MARSHALL AVE, MC LEANSBORO, IL 62859-1213
(618) 643-2361
(618) 643-3917
Mailing address
611 S MARSHALL AVE, P.O. BOX 429, MC LEANSBORO, IL 62859-1213
(618) 643-2361
(618) 643-3917
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085002000
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085-002000
IL LICENSE
IL
Enumeration date
10/15/2012
Last updated
02/12/2014
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