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1578636072
GERALD LANE DEVAUGHN
PHILADELPHIA, PA
NPI
1578636072
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: PA MD024220E)
Enumeration Date
2006-11-15
Last Update Date
2016-03-16
Business Address
-- GERALD LANE DEVAUGHN M.D.
5249 CEDAR AVE SUITE A
PHILADELPHIA, PA 19143-1524
Phone number: 215-471-1817
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Mailing Address
-- GERALD LANE DEVAUGHN M.D.
5249 CEDAR AVE SUITE A
PHILADELPHIA, PA 19143-1524
Phone number: 215-471-1817
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