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Individual

CHIFFON BEANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
444 IRVINGTON RD, KILMARNOCK, VA 22482-9532
(804) 724-0437
Mailing address
444 IRVINGTON RD, KILMARNOCK, VA 22482-9532
(804) 724-0437

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002097644
VA

Other

Enumeration date
08/14/2025
Last updated
08/14/2025
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