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Individual

DEBORAH EILEEN DEUBLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.A.-C

Contact information

Practice address
1057 PAUL MAILLARD RD, SUITE D-1900, LULING, LA 70070-4349
(985) 785-5636
Mailing address
10726 ROYAL RIDGE AVE, BATON ROUGE, LA 70810-8007
(225) 266-6894
(985) 785-7753

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA.A10572.RX
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07403824
MS
05
2393154
LA
Enumeration date
03/06/2007
Last updated
12/17/2015
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