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Individual

KIMBERLY BEAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
201 SABINE ST, PORTLAND, TX 78374
(361) 800-1854
Mailing address
201 SABINE ST, PORTLAND, TX 78374-1322

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
119198
TX

Other

Enumeration date
08/16/2018
Last updated
08/16/2018
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