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1295853802
NICANOR D DEVERA
SAINT LOUIS, MO
NPI
1295853802
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MO R8B11)
Enumeration Date
2007-03-26
Last Update Date
2007-07-08
Business Address
DR. NICANOR D DEVERA MD
6150 OAKLAND AVE CO MARILYN KORNBERGER
SAINT LOUIS, MO 63139-3215
Phone number: 314-768-3090
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Mailing Address
DR. NICANOR D DEVERA MD
531 PEBBLE BROOK LN HMAI
BELLEVILLE, IL 62221-7609
Phone number: 618-779-5508
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