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LINDA MICHELLE BEAVERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
1502 KAREN LN, IOWA PARK, TX 76367-1026
(940) 704-1829
Mailing address
1502 KAREN LN, IOWA PARK, TX 76367-1026
(940) 704-1829

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
205139
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
205139
LVN LICENSE
TX
Enumeration date
02/22/2018
Last updated
02/22/2018
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  • EDI platform