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Individual

MR. DEVIN ANTHONY KEETON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
HS

Contact information

Practice address
759 PINETREE ST, SLIDELL, LA 70458-4413
(609) 892-3284
Mailing address
759 PINETREE ST, SLIDELL, LA 70458-4413
(609) 892-3284

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary

Other

Enumeration date
10/28/2010
Last updated
10/28/2010
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