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Individual

DEVA JAVELLANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MHPP

Contact information

Practice address
311 N SPRUCE ST, SEARCY, AR 72143-7704
(501) 268-2814
(501) 268-2824
Mailing address
311 N SPRUCE ST, SEARCY, AR 72143-7704
(501) 268-2814
(501) 268-2824

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
11/11/2011
Last updated
11/11/2011
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