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Individual

MS. BEVERLY SUE MCKEAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
809 GROVE AVE, HOLLY HILL, FL 32117-3413
(386) 675-5274
Mailing address
809 GROVE AVE, HOLLY HILL, FL 32117-3413
(386) 675-5274

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN9257416
FL

Other

Enumeration date
10/25/2011
Last updated
10/25/2011
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