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Individual

MRS. DEIDRE DEVINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1550 JULIESSE AVE, SACRAMENTO, CA 95815-1803
(916) 737-5555
Mailing address
6440 PRETTY GIRL CT, CITRUS HEIGHTS, CA 95621-4743
(916) 599-5726

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
07/15/2018
Last updated
07/15/2018
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