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1700034170
DEBORAH STREET
MORGANTOWN, WV
NPI
1700034170
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: WV 59126)
Enumeration Date
2008-08-28
Last Update Date
2008-08-28
Business Address
DEBORAH STREET CRNA
101 STADIUM DR
MORGANTOWN, WV 26506-7911
Phone number: 304-598-4000
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Mailing Address
DEBORAH STREET CRNA
PO BOX 897
MORGANTOWN, WV 26507-0897
Phone number: 304-293-7401
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