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Individual

DEBORAH KATHLEEN RUPAE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
13995 W. STATLER BLVD, SURPRISE, AZ 85374
(623) 478-3100
(623) 478-3300
Mailing address
13995 W. STATLER BLVD, STE 200, SURPRISE, AZ 85374-5501
(623) 478-3100
(623) 478-3300

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200150031NP
OR
363LF0000X
Family Nurse Practitioner
AP30005854
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9645714
WA
Enumeration date
03/28/2006
Last updated
08/22/2018
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