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Individual
DENISE LAVETTE DESHIELDS
Active
Individual
DENISE LAVETTE DESHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
H5162
TX
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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