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1881654374
JASON DEVIVA
BALTIMORE, MD
NPI
1881654374
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NY 015458)
Enumeration Date
2006-03-27
Last Update Date
2007-07-08
Business Address
Dr. JASON DEVIVA Ph.D.
10 N GREENE ST BALTIMORE VAMC BT-116-MH
BALTIMORE, MD 21201-1524
Phone number: 410-605-7000
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Mailing Address
Dr. JASON DEVIVA Ph.D.
10 N GREENE ST BALTIMORE VAMC BT-116-MH
BALTIMORE, MD 21201-1524
Phone number: 410-605-7000
Copy
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