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BEVERLY E CHENAULT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
4648 WAKEFORD ST, COLUMBUS, OH 43214-1945
(614) 753-6726
Mailing address
4648 WAKEFORD ST, COLUMBUS, OH 43214-1945
(614) 753-6726

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
135207
OH

Other

Enumeration date
05/25/2013
Last updated
05/25/2013
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