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Individual

MS. JENNIFER LYNN DEVAULT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
500 17TH AVE, MOTHER JOSEPH CLINIC, SEATTLE, WA 98122-5711
(206) 860-6656
Mailing address
4048 140TH AVE NE, BELLEVUE, WA 98005-1128
(425) 497-1674

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN00079741
WA

Other

Enumeration date
01/10/2007
Last updated
07/08/2007
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