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1306232202
DEBORAH DURHAM BISON
KEITHVILLE, LA
NPI
1306232202
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Former Name
DEBBY LOU DURHAM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: LA Z20639)
Enumeration Date
2015-04-08
Last Update Date
2015-04-08
Business Address
Mrs. DEBORAH DURHAM BISON COTA
11420 CLINGMAN RD
KEITHVILLE, LA 71047-7563
Phone number: 318-518-9763
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Mailing Address
Mrs. DEBORAH DURHAM BISON COTA
11420 CLINGMAN RD
KEITHVILLE, LA 71047-7563
Phone number: 318-518-9763
Copy