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Individual
DEIRDRE IRENE DETRAZ
Active
Individual
DEIRDRE IRENE DETRAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANPC
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APO 4805
LA
Other
Enumeration date
07/14/2006
Last updated
11/08/2024
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