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1790370096
JACQUELINE DEVANEY
ASTORIA, OR
NPI
1790370096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: OR 202102188NP-PP)
Enumeration Date
2021-03-08
Last Update Date
2021-10-08
Business Address
JACQUELINE DEVANEY FNP
393 W MARINE DR
ASTORIA, OR 97103-6205
Phone number: 832-444-6896
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Mailing Address
JACQUELINE DEVANEY FNP
393 W MARINE DR
ASTORIA, OR 97103-6205
Phone number: 832-444-6896
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