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DEVONNA GILES MAGUET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
40 MOONBOW PLZ STE 1, CORBIN, KY 40701-8983
(606) 215-3488
(606) 280-4015
Mailing address
219 WOODCHASE LN, CORBIN, KY 40701-8112
(606) 521-5159

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3003233
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00259
MEDICARE PTAN ASSOCIATED WITH OFFICE NPI NUMBER 1386781789
KY
05
7100301900
KY
01
K103140
MEDICARE
KY
Enumeration date
05/30/2012
Last updated
03/27/2022
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