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Individual
MR. BEAU PRESCOTT SEMLER
Active
Individual
MR. BEAU PRESCOTT SEMLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28164648A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71010794A
IN
Other
Enumeration date
01/27/2021
Last updated
03/29/2021
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