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Individual

DEVIN WILLIS SOSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
4916 NIGHT STAR TRL, ODESSA, FL 33556-4427
(720) 670-7492
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9116078
FL
363AM0700X
Medical Physician Assistant
10003798A
IN

Other

Enumeration date
07/12/2022
Last updated
12/19/2022
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