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Individual

MARY DEVINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 280-3333
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 280-3333

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
CNM1006
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
134995799
AR
Enumeration date
10/13/2006
Last updated
01/07/2011
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