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Individual

KATHLEEN NELLIE DEVEJIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC, APRN

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN203026
MA

Other

Enumeration date
10/20/2017
Last updated
08/02/2024
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