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Individual
JANE MARIE DEVINE
Active
Individual
JANE MARIE DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R093167
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R093167
CRNP PEDIATRICS
MD
Enumeration date
05/01/2007
Last updated
11/08/2011
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