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Individual

CORBYN D'ANN BLOUIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
32871 LA HIGHWAY 16, DENHAM SPRINGS, LA 70706-0960
(225) 349-7960
Mailing address
5088 MYRTLE HILL AVE, ZACHARY, LA 70791-3060
(225) 328-4852

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
011824799
LA

Other

Enumeration date
02/04/2022
Last updated
02/04/2022
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