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Individual
MEGAN DEBLIECK
Active
Individual
MEGAN DEBLIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, MHA
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004796
IA
225100000X
Physical Therapist
Primary
1229328
TX
Other
Enumeration date
06/16/2011
Last updated
06/23/2013
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