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Individual

JUDITH A DEVORAK

Active
Sole proprietor

Provider details

NPI number
Gender
F

Contact information

Practice address
208 CENTERTOWN PLAZA, STEWARTVILLE, MN 55976
(507) 533-8456
Mailing address
208 CENTERTOWN PLAZA, STEWARTVILLE, MN 55976
(507) 533-8456

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8932
MN

Other

Enumeration date
06/07/2006
Last updated
07/08/2007
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