MRS. Deborah Iborg, ATC

NPI #1265407332 in Saint Louis, Missouri

Provider Information

NPI Number: 1265407332
Entity Type: Individual
Name: MRS. Deborah Iborg, ATC
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: ATC
Enumeration Date: Feb 21, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3400 PERSHALL RD
City: Saint Louis
State: Missouri
ZIP Code: 63135-1408
Phone: (314) 513-4285

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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