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Individual

MR. DERON J BLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1322 SAINT CHARLES ST, HOUMA, LA 70360-3961
(985) 876-9555
(985) 876-0180
Mailing address
126 E ELLENDALE ESTATE DR, HOUMA, LA 70360-8917
(985) 876-9555
(985) 876-0180

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00677
LA

Other

Enumeration date
07/13/2006
Last updated
07/08/2007
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