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Individual

MS. CAROL A DEVINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN CNS

Contact information

Practice address
340 MONTAGE MOUNTAIN RD, MOOSIC, PA 18507-1782
(570) 346-3686
(570) 346-5301
Mailing address
340 MONTAGE MOUNTAIN RD, MOOSIC, PA 18507-1782
(570) 346-3686
(570) 346-5301

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN213232L
PA

Other

Enumeration date
03/08/2007
Last updated
04/19/2010
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