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Individual
TODD A DEVALCOURT
Active
Individual
TODD A DEVALCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
P.A.A10538
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00249834
RAILROAD
LA
Enumeration date
06/10/2006
Last updated
09/19/2019
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