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Individual

DR. EILEEN KLOK BEVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
41 ELM STREET, STE 1U, MORRISTOWN, NJ 07960-5731
(973) 984-5200
(973) 984-3020
Mailing address
41 ELM STREET, STE 1U, MORRISTOWN, NJ 07960-5731
(973) 984-5200
(973) 984-3020

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00223500
NJ
111N00000X
Chiropractor
X0029731
NY
163W00000X
Registered Nurse
68290
NJ

Other

Enumeration date
04/11/2007
Last updated
07/09/2010
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