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Individual

MICHAEL DEVO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
524 W STATE ST, SUITE 1, GENEVA, IL 60134-2154
(630) 232-7611
Mailing address
912 MOHAWK DR, ELGIN, IL 60120-3146
(847) 624-1164

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227011153
IL

Other

Enumeration date
03/12/2015
Last updated
03/12/2015
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