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MRS. SUE LILLIAN DEVERS RN

>> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1407178957

Individual Registrant:
MRS. SUE LILLIAN DEVERS RN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3449 E REZANOF DR  KODIAK, AK 99615 US
Tel: 907-486-9870  Fax: 907-486-9897

Contact information for business:
3449 E REZANOF DR  KODIAK, AK 99615 US
Tel: 907-486-9870  Fax: 907-486-9897

Registration Information:
NPI: 1407178957
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N163W00000XNursing Service Providers
Registered Nurse
AK4497
Y208D00000XAllopathic & Osteopathic Physicians
General Practice
AK4497

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CL3225AK05




HEALTH CARE JOBS AK - Page 1



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