Mrs. Bonnie Jean Devall, LICENSEDDENTURIST
Mrs. Bonnie Jean Devall, LICENSEDDENTURIST is a Denturist in Twin Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2007.
- Licensed in
- ID
- In the registry since
- 2007
Practice location Address checks out
507 Main Ave W Ste BTwin Falls, ID 83301
Phone: (208) 733-2374
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Denturist (primary) | Taxonomy 122400000X · Licence LD18 (ID) |
|---|
Record details
| NPI number | 1720124324 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LICENSEDDENTURIST |
| Sole proprietor | No |
| NPI enumerated | January 30, 2007 |
| Last updated in NPPES | July 8, 2007 |
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