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Individual

JACQUELINE R DEVINE-ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
960 S COLUMBIA RD, GRAND FORKS, ND 58201-4030
(701) 780-6000
Mailing address
PO BOX 6002, GRAND FORKS, ND 58206-6002
(701) 780-5000

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R25732
ND

Other

Enumeration date
01/30/2007
Last updated
06/18/2020
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