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Individual

DEVIN LYNN PEERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
1011 14TH AVE NW, ARDMORE, OK 73401-1828
(580) 220-6658
(580) 220-6673
Mailing address
1011 14TH AVE NW, ARDMORE, OK 73401-1828
(580) 220-6658
(580) 220-6673

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R64970
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200073710A
OK
Enumeration date
11/18/2005
Last updated
08/13/2014
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