Individual
DEVYNE GASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1196 SWIFT CREEK DR, NEW AUBURN, WI 54757-9902
(715) 202-0581
Mailing address
1196 SWIFT CREEK DR, NEW AUBURN, WI 54757-9902
(715) 202-0581
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
19697630
WI
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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