Individual
JUDITH REGINA DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 N 4TH ST, CLINTON, IA 52732-2940
(563) 244-5545
(563) 244-5506
Mailing address
1133 BROOKVIEW DR, DE WITT, IA 52742-9290
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16806
IA
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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