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DR. DEETTE DEVILLE M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1558528349

Individual Registrant:
DR. DEETTE  DEVILLE M.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
16319 THIRD STREET  GUERNEVILLE, CA 95446 US
Tel: 707-869-2849  Fax: 707-869-5983

Contact information for business:
PO BOX 1449  GUERNEVILLE, CA 95446-1449 US
Tel: 707-869-5977  Fax: 707-869-5983

Registration Information:
NPI: 1558528349
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
NY230655
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CAA73739

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1356344758CA05




HEALTH CARE JOBS CA - Page 1



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