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Individual

DR. DALLAS HUMBLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
801 JOHNSON ST, TALLULAH, LA 71282-4534
(318) 303-6142
(318) 855-8453
Mailing address
410 N 7TH ST, WEST MONROE, LA 71291-4108
(318) 303-6142
(318) 855-8453

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
488
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1951731
LA
Enumeration date
09/01/2017
Last updated
04/06/2023
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