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1558877662
MERCEDES L DEVORE
WOOD RIVER, NE
NPI
1558877662
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NE 972)
Enumeration Date
2017-12-27
Last Update Date
2018-03-17
Business Address
MERCEDES L DEVORE
1401 EAST ST, WOOD RIVER, NE 68883
WOOD RIVER, NE 68883
Phone number: 308-583-2213
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Mailing Address
MERCEDES L DEVORE
6047 S SCHAUPPSVILLE RD
WOOD RIVER, NE 68883-9457
Phone number:
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