MRS. Susan Diane Devine, T.V.I.
NPI #1467653162 in Bowling Green, Kentucky
Provider Information
- NPI Number
- 1467653162
- Entity Type
- Individual
- Name
- MRS. Susan Diane Devine, T.V.I.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- T.V.I.
- Enumeration Date
- May 30, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 812 WRENWOOD DR
- City
- Bowling Green
- State
- Kentucky
- ZIP Code
- 42103-1582
- Phone
- (270) 779-7564
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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