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DONALD L. DEVINE DC

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1649329350

Individual Registrant:
 DONALD L. DEVINE DC
Gender: M
Sole Proprietor

Location and contact information for practice:
284 W OAKLEY AVE  LOWELL, IN 46356-2233 US
Tel: 219-696-0668  Fax: --

Contact information for business:
284 W OAKLEY AVE  LOWELL, IN 46356-2233 US
Tel: 219-696-0662  Fax: --

Registration Information:
NPI: 1649329350
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
IN08000349A

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE SHIELD IL PROVIDER90001027IL01




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