| Doctor Name: | JACQUELINE DEEBLE |
| NPI Number: | 1386917557 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 018388 |
| Business Practice Address: | 33 Clark St Randolph, MA - 023683611 |
| Business Phone Number: | 7812495403 |
| Business Fax Number: | |
| Mailing Address: | 33 Clark St, RANDOLPH |
| State: | MA |
| Postal Code: | 023683611 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/17/2012 |
| NPI Last Update Date: | 02/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 018388 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |