Individual
DR. DOMINIC MICHAEL DEBLASIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3407 FERN VALLEY RD, LOUISVILLE, KY 40213-3529
(502) 961-9355
Mailing address
3407 FERN VALLEY RD, LOUISVILLE, KY 40213-3529
(502) 961-9355
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
279244
KY
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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