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1932279387
JERRY R DEVORE
TACOMA, WA
NPI
1932279387
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WA 1101)
Enumeration Date
2006-11-09
Last Update Date
2007-07-08
Business Address
Dr. JERRY R DEVORE PhD
MADIGAN ARMY MEDICAL CTR
TACOMA, WA 98431-0001
Phone number: 253-968-6563
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Mailing Address
Dr. JERRY R DEVORE PhD
2124 N FIFE ST
TACOMA, WA 98406-7607
Phone number: 253-752-7314
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