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Individual

JOSEPH DEVEAUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DENTAL HYGIENIST

Contact information

Practice address
1601 SW ARCHER RD # 5B13, GAINESVILLE, FL 32608-1135
(907) 283-9125
Mailing address
48320 VANDERBERG CT, SOLDOTNA, AK 99669-9466
(907) 252-1774

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
AA588
AK

Other

Enumeration date
02/27/2015
Last updated
02/27/2015
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