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1356013262
SAMUEL PHILIP DEVORE
ELLENSBURG, WA
NPI
1356013262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2021-09-29
Last Update Date
2021-09-29
Business Address
SAMUEL PHILIP DEVORE PA
100 E JACKSON AVE
ELLENSBURG, WA 98926-3692
Phone number: 509-933-8777
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Mailing Address
SAMUEL PHILIP DEVORE PA
6759 N WATERLILLY WAY
BOISE, ID 83714-4043
Phone number: 541-910-0627
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