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1518555846
DEVONTE BERNARD AVERETT
COLUMBUS, GA
NPI
1518555846
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Additional Taxonomies
174400000X Specialist
Enumeration Date
2021-01-03
Last Update Date
2021-01-19
Business Address
DEVONTE BERNARD AVERETT
1700 FOUNTAIN CT APT 2206
COLUMBUS, GA 31904-1632
Phone number: 706-593-8758
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Mailing Address
DEVONTE BERNARD AVERETT
1700 FOUNTAIN CT APT 2206
COLUMBUS, GA 31904-1632
Phone number: 706-593-8758
Copy
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