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Individual

MR. DEVONN FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MBA

Contact information

Practice address
850 E WARDLOW RD, LONG BEACH, CA 90807-4628
(562) 981-9392
Mailing address
850 E WARDLOW RD, LONG BEACH, CA 90807-4628
(562) 981-9392

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
04/30/2013
Last updated
11/09/2015
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