Individual
TERESE ANN BEVARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1314 LAKE AVE, GOTHENBURG, NE 69138-1743
(402) 366-6462
Mailing address
921 AVENUE L APT 5, COZAD, NE 69130-1348
(402) 366-6462
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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