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Individual

EDWARD DEVEAU JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
489 STATE ST, BANGOR, ME 04401
(207) 973-4519
(207) 992-4034
Mailing address
141 N MAIN ST, STE # 205, BREWER, ME 04412-2011
(207) 992-4032
(207) 992-4034

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
089493-23
NH
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA143061
ME

Other

Enumeration date
01/06/2015
Last updated
12/06/2022
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