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Individual

LAURA ANN DEVORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
981 OTSEGO ROAD, WEST HEMPSTEAD, NY 11552
(516) 304-6051
Mailing address
981 OTSEGO RD, WEST HEMPSTEAD, NY 11552-3911
(516) 304-6051

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
06/08/2017
Last updated
07/21/2022
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