Provider Information for 1699265140
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REBECCA DEVITO
Sex: Female
NPI: 1699265140
Last Updated: 2018-05-10
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1699265140 | ||||||||
| Enumeration Date | 2018-05-10 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4020 FOLKER ST ANCHORAGE, AK 99508-5321 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 4020 FOLKER ST ANCHORAGE, AK 99508-5321 United States Phone: 907-563-1000 | Fax: | ||||||||
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