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Individual
MRS. TABATHA LYNN BEARD
Active
Individual
MRS. TABATHA LYNN BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN120119 IV
OH
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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