Individual
MRS. DEBBIE KAY BEANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
14198 STATE ROUTE 4, MARYSVILLE, OH 43040-9048
(937) 578-6400
Mailing address
1376 VALLEY DR, MARYSVILLE, OH 43040-9196
(937) 578-6400
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
PN 109482-M-IV
OH
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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