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1760018113
DEVIN DEMYANOVICH
DURHAM, NC
NPI
1760018113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC LAT-1712)
Enumeration Date
2020-03-18
Last Update Date
2023-11-27
Business Address
DEVIN DEMYANOVICH ATC
110 WHITFORD DRIVE WD MURRAY BUILDING RM 212
DURHAM, NC 27708-0001
Phone number: 919-668-5626
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Mailing Address
DEVIN DEMYANOVICH ATC
1304 COZART ST UNIT 217
DURHAM, NC 27704-6219
Phone number: 570-778-6385
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