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Individual

DEBORAH L TODD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR,L

Contact information

Practice address
8450 OLIVE AVE, MOHAVE VALLEY, AZ 86440-9214
(928) 768-4538
Mailing address
1852 COMBAT DR, LAKE HAVASU CITY, AZ 86403-7451
(928) 854-6362

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2607
AZ

Other

Enumeration date
01/08/2007
Last updated
07/08/2007
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