Quinn Debose

NPI #1851713291 in Park Forest, Illinois

Provider Information

NPI Number: 1851713291
Entity Type: Individual
Name: Quinn Debose
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 18, 2014
Last Updated: May 20, 2015

Practice Location

Address: 124 ELM ST
City: Park Forest
State: Illinois
ZIP Code: 60466-1744
Phone: (312) 437-0729

Specialties & Taxonomy Codes

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

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