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Individual

JULIA MARIE BEVERICK II

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
202 CEDAR BROOK LN STE 105, SANDUSKY, OH 44870-5433
(419) 357-1123
Mailing address
202 CEDAR BROOK LN STE 105, SANDUSKY, OH 44870-5433
(419) 357-1123

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
S7225
OH
3747P1801X
Personal Care Attendant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2275943
OH
Enumeration date
02/15/2011
Last updated
08/11/2023
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