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1114940046
MARY MAITLAND DELAND
LAFAYETTE, LA
NPI
1114940046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0001X Radiology Radiation Oncology
(Licence: LA 05746R)
Enumeration Date
2006-07-25
Last Update Date
2020-08-12
Business Address
MARY MAITLAND DELAND MD
1507 ALICE DR
LAFAYETTE, LA 70503-5083
Phone number: 337-989-0812
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Mailing Address
MARY MAITLAND DELAND MD
1507 ALICE DR
LAFAYETTE, LA 70503-5083
Phone number: 337-989-0812
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