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Individual

MRS. BEVERLY G NEAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
12606 E. MAIN ST, MAYER, AZ 86333-1059
(928) 642-1190
(928) 632-9610
Mailing address
16663 S BRAHMA CIR, MAYER, AZ 86333-2518

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP013661
AZ

Other

Enumeration date
06/08/2007
Last updated
07/08/2007
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