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Individual
JENNA DEVARE
Active
Individual
JENNA DEVARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
4301117257
MI
207YP0228X
Pediatric Otolaryngology Physician
Primary
4301117257
MI
207YP0228X
Pediatric Otolaryngology Physician
MT225261
PA
Other
Enumeration date
06/04/2014
Last updated
12/19/2024
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