Deborah Jean Gorman, ESTHETCIAN,

NPI #1861956443 in Butte, Montana

Provider Information

NPI Number
1861956443
Entity Type
Individual
Name
Deborah Jean Gorman, ESTHETCIAN,
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician
Credential
ESTHETCIAN,
Enumeration Date
Jan 28, 2019
Last Updated
Jan 28, 2019

Practice Location

Address
2220 COBBAN ST
City
Butte
State
Montana
ZIP Code
59701-5699
Phone
(503) 522-3653

Specialties & Taxonomy Codes

Specialty
Technician

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