Provider Demographics
NPI:1477683381
Name:DEVENS, JAMES SHELDON
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:SHELDON
Last Name:DEVENS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 114
Mailing Address - Street 2:
Mailing Address - City:COPPER CENTER
Mailing Address - State:AK
Mailing Address - Zip Code:99573
Mailing Address - Country:US
Mailing Address - Phone:907-822-4492
Mailing Address - Fax:
Practice Address - Street 1:128 SCENEGA
Practice Address - Street 2:
Practice Address - City:GLENNALLEN
Practice Address - State:AK
Practice Address - Zip Code:99588
Practice Address - Country:US
Practice Address - Phone:907-822-3384
Practice Address - Fax:907-822-5484
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2024-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
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