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Individual
MR. DEVIN LEE ROSS
Active
Individual
MR. DEVIN LEE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN211929
GA
363L00000X
Nurse Practitioner
Primary
RN211929
GA
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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