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Contact Information

DEBRA L VINE
12720 KANSAS AVE
BLDG 789
FORT LEONARD WOOD, MO65473
 Phone: 573-596-1470
 Fax: 573-596-1482
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Assistant

126800000X
Indicates primary specialty

NPI Profile & details for DEBRA L VINE · (Female)

NPI Number 1851847131
Status Active
Credentials
Entity Individual
Enumeration date 08/28/2016
Last updated 08/28/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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