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1538418561
DEVINE HEALTHCARE LLC
O FALLON, MO
NPI
1538418561
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Entity Type
Organization
Authorized Contact
TECONDA L. DOUGLAS
Adult Nurse Practitioner, Owner
314-496-1858
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2012-09-05
Last Update Date
2014-08-18
Business Address
DEVINE HEALTHCARE LLC
956 MOLLOY DR
O FALLON, MO 63366-3229
Phone number: 314-496-1858
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Mailing Address
DEVINE HEALTHCARE LLC
956 MOLLOY DR
O FALLON, MO 63366-3229
Phone number: 314-496-1858
Copy
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