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Individual

BEVERLY KAY DENTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2411 MARY ST, SAINT JOSEPH, MO 64507-1534
(816) 261-6719
Mailing address
PO BOX 7075, SAINT JOSEPH, MO 64507-7075
(816) 261-6719

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
376J00000X
Homemaker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
374U00000X
HOME HEALTH
MO
01
376J00000X
HOME HEALTH
MO
Enumeration date
02/14/2011
Last updated
02/14/2011
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