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MRS. OLIVIA PAIGE BLALOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
1727 IMPERIAL BLVD, BUILDING 2, LAKE CHARLES, LA 70605-5362
(337) 310-3670
(337) 421-1408
Mailing address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 312-8258
(337) 312-6708

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2541
LA

Other

Enumeration date
05/12/2014
Last updated
03/20/2017
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