MEDICARE: MS. DEBORAH D DEAN LPN

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
1	376J00000X	Homemaker		CO

General Provider Information

NPI Number	:	1457490062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DEBORAH D DEAN LPN

Provider Business Mailing Address
First Line	:	7396 VILLAGE SQUARE DR APT 2827
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80108-9395
Country	:	US
Telephone Number	:	720-339-5233
Fax Number	:

Provider Business Practice Location Address
First Line	:	7396 VILLAGE SQUARE DR APT 2827
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80108-9395
Country	:	US
Telephone Number	:	720-339-5233
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	12/15/2009

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