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Individual

DARRELL KEITH FORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3346 DRUSILLA LN STE C, BATON ROUGE, LA 70809-1878
(225) 936-3598
(832) 550-2140
Mailing address
1544 SHERWOOD FOREST BLVD, BATON ROUGE, LA 70815-5456
(225) 201-8901
(832) 550-2140

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
LA

Other

Enumeration date
02/10/2008
Last updated
02/10/2008
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