Individual
KAROL LYNN DEBOER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4032 M 139 STE 108, SAINT JOSEPH, MI 49085-8664
(269) 556-1526
Mailing address
4032 M 139 STE 108, SAINT JOSEPH, MI 49085-8664
(269) 556-1526
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/26/2019
Last updated
04/26/2019
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