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1528246857
DEBRA LYNN STATELY
CROOKSTON, MN
NPI
1528246857
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Former Name
DEBRA LYNN SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2008-02-08
Last Update Date
2008-02-08
Business Address
-- DEBRA LYNN STATELY
27885 170TH AVE SW
CROOKSTON, MN 56716-9444
Phone number: 218-281-3506
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Mailing Address
-- DEBRA LYNN STATELY
27885 170TH AVE SW
CROOKSTON, MN 56716-9444
Phone number: 218-281-3506
Copy
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