Provider Demographics
NPI:1427859537
Name:ABOUBACAR, DEBORA N/A
Entity type:Individual
Prefix:
First Name:DEBORA
Middle Name:N/A
Last Name:ABOUBACAR
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10057 BONNYKELLY CT
Mailing Address - Street 2:
Mailing Address - City:BRISTOW
Mailing Address - State:VA
Mailing Address - Zip Code:20136-5612
Mailing Address - Country:US
Mailing Address - Phone:520-254-7124
Mailing Address - Fax:
Practice Address - Street 1:10057 BONNYKELLY CT
Practice Address - Street 2:
Practice Address - City:BRISTOW
Practice Address - State:VA
Practice Address - Zip Code:20136-5612
Practice Address - Country:US
Practice Address - Phone:520-254-7124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter