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Individual

BETH MARGARET LEMASTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC, RN

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
847
WV
163W00000X
Registered Nurse
Primary
1127895
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001909196
MOUNTAIN STATE BCBS
WV
05
3810009491
WV
Enumeration date
08/22/2006
Last updated
02/20/2012
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