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Individual

DR. DEBORAH CANDACE LOVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
302 CALIFORNIA AVE STE 208, WAHIAWA, HI 96786-1841
(808) 622-5556
(808) 621-4594
Mailing address
68-155 AU ST APT 204, WAIALUA, HI 96791-9457
(808) 622-5556
(808) 621-4594

Taxonomy

Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
4421
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01401301
HI
Enumeration date
01/19/2007
Last updated
07/08/2007
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