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Individual

ANDREW GAIL BEOUGHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNP

Contact information

Practice address
140 FOX RD STE 401, VAN WERT, OH 45891-3406
(419) 238-4909
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
RN.344614
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.0033144
OH

Other

Enumeration date
04/03/2023
Last updated
03/22/2024
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