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1235289539
DEREK J. DESHOTEL
ALEXANDRIA, LA
NPI
1235289539
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA 070004)
Enumeration Date
2007-01-11
Last Update Date
2008-05-01
Business Address
-- DEREK J. DESHOTEL CRNA
211 4TH ST
ALEXANDRIA, LA 71301-8421
Phone number: 318-473-3000
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Mailing Address
-- DEREK J. DESHOTEL CRNA
211 4TH ST BOX 30135
ALEXANDRIA, LA 71301-8421
Phone number: 318-448-8440
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