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Individual
DR. MANDA MOORE DEVILLE
Active
Individual
DR. MANDA MOORE DEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D. R.PH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23687
GA
183500000X
Pharmacist
3034
WY
183500000X
Pharmacist
38734
FL
183500000X
Pharmacist
5560
MT
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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