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Individual

MR. CLIFF D DEDEAUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
1520 ADELINE ST, SUITE B, HATTIESBURG, MS 39401-6265
(662) 418-7547
Mailing address
1520 ADELINE ST, SUITE B, HATTIESBURG, MS 39401-6265
(662) 418-7547

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1514
MS

Other

Enumeration date
02/05/2007
Last updated
07/08/2007
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