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Individual

MR. JAMES RICHEY BEACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICENSED DISPENSING

Contact information

Practice address
4833 WESTCHESTER DRIVE, APT. 118, YOUNGSTOWN, OH 44515-2542
(330) 503-8675
(330) 799-4515
Mailing address
4833 WESTCHESTER DRIVE, APT. 118, YOUNGSTOWN, OH 44515-2542
(330) 503-8675
(330) 799-4515

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4514SC
OH

Other

Enumeration date
08/15/2012
Last updated
08/15/2012
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