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1730249541
DAVID CROCKETT BLYTHE
HOUMA, LA
NPI
1730249541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: LA 2345)
Enumeration Date
2006-12-11
Last Update Date
2007-07-08
Business Address
Dr. DAVID CROCKETT BLYTHE DDS
401 LIBERTY ST
HOUMA, LA 70360-4617
Phone number: 985-851-3710
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Mailing Address
Dr. DAVID CROCKETT BLYTHE DDS
401 LIBERTY ST
HOUMA, LA 70360-4617
Phone number: 985-851-3710
Copy
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