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Individual

EUGENE B. DEVILLIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.S.

Contact information

Practice address
750 E MAIN ST, GARDNER, KS 66030-1744
(913) 884-7912
Mailing address
2140 N 400TH RD, WELLSVILLE, KS 66092-4010
(785) 883-4897

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-09663
KS
183500000X
Pharmacist
29484
MO

Other

Enumeration date
12/20/2011
Last updated
12/20/2011
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