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Individual

MS. ALISHA DEVAUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP-BC

Contact information

Practice address
4215 JOE RAMSEY BLVD E, GREENVILLE, TX 75401-7852
(903) 450-3543
Mailing address
9792 SHAWNEE LN, QUINLAN, TX 75474-3720
(903) 450-3543

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP126839
TX

Other

Enumeration date
11/05/2014
Last updated
11/05/2014
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