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Individual

JOHN THOMAS DEVORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
6200 EUBANK BLVD NE APT 1716, ALBUQUERQUE, NM 87111-7321
(785) 331-8873
Mailing address
6200 EUBANK BLVD NE APT 1716, ALBUQUERQUE, NM 87111-7321
(785) 331-8873

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2022-0075
NM
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
01/03/2021
Last updated
04/05/2023
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