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NPI Code Detail

MEDICARE: DEVAWN RAYBAUGHN KORTE

MEDICARE:   DEVAWN RAYBAUGHN KORTE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747A0650XAttendant Care Provider

General Provider Information

NPI Number : 1295372035
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEVAWN RAYBAUGHN KORTE
Provider Business Mailing Address
First Line : 3150 ARVILLE ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-7637
Country : US
Telephone Number : 702-412-0544
Fax Number :
Provider Business Practice Location Address
First Line : 3150 ARVILLE ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-7637
Country : US
Telephone Number : 702-412-0544
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2019
Last Update Date : 11/27/2019

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Directions to “ DEVAWN RAYBAUGHN KORTE ” Practice Location

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