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1265666861
CRYSTAL MARIE DEVIVO
AIKEN, SC
NPI
1265666861
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Former Name
CRYSTAL MARIE ROBBINS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC 821)
Enumeration Date
2009-05-11
Last Update Date
2017-11-20
Business Address
Ms. CRYSTAL MARIE DEVIVO PA-C
216 EDGEFIELD AVE NW
AIKEN, SC 29801-3910
Phone number: 803-648-4224
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Mailing Address
Ms. CRYSTAL MARIE DEVIVO PA-C
2 WESTSHIRE PL
NORTH AUGUSTA, SC 29841-3375
Phone number: 803-648-4224
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