Individual
MRS. MISTY LYNN DEDEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-5480
Mailing address
13 RYAN CIR, LONG BEACH, MS 39560-2305
(228) 865-0095
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A2217
MS
Other
Enumeration date
07/02/2006
Last updated
07/08/2007
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