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Individual

DR. THOMAS EDWARD DEBLOIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4452 PARK BLVD., STE. #214, SAN DIEGO, CA 92116-4049
(858) 427-0504
Mailing address
PO BOX 9452, SAN DIEGO, CA 92169-0452
(858) 427-0504
(541) 265-9827

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
8212
OR
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
G73409
CA

Other

Enumeration date
02/15/2006
Last updated
05/01/2013
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