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Individual

MRS. BEVERLY ANN SIMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
3123 FULTON RD, CLEVELAND, OH 44109-1423
(216) 799-3289
Mailing address
3861 E 189TH ST, CLEVELAND, OH 44122-6564
(216) 921-8162

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
087340
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
105424283799
OH
Enumeration date
04/03/2007
Last updated
07/09/2007
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