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Individual

JENNIFER DEVEGLIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
20 ROSALIE PL, PATCHOGUE, NY 11772-2930
(631) 637-0184
Mailing address
20 ROSALIE PL, PATCHOGUE, NY 11772-2930

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
08/22/2021
Last updated
08/22/2021
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