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Individual

DR. JERRY R DEVORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
MADIGAN ARMY MEDICAL CTR, TACOMA, WA 98431-0001
(253) 968-6563
Mailing address
2124 N FIFE ST, TACOMA, WA 98406-7607
(253) 752-7314

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1101
WA

Other

Enumeration date
11/09/2006
Last updated
07/08/2007
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