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NPI Code Detail

MEDICARE: JESSICA DEBAUN

MEDICARE: JESSICA DEBAUN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist115269TX

General Provider Information

NPI Number : 1306301973
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA DEBAUN
Provider Business Mailing Address
First Line : 1448 HOUSTON ST
Second Line :
City : WILLS POINT
State : TX
Zip : 75169-3120
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1448 HOUSTON ST
Second Line :
City : WILLS POINT
State : TX
Zip : 75169-3120
Country : US
Telephone Number : 903-873-6736
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2019
Last Update Date : 02/07/2019

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Directions to “ JESSICA DEBAUN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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