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Individual

MRS. BEVERLY S CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
321 LINTZ HOLLOW LEFT FORK RD, LUCASVILLE, OH 45648-8540
(740) 259-3037
Mailing address
321 LINTZ HOLLOW LEFT FORK RD, LUCASVILLE, OH 45648-8540
(740) 259-3037

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
12/15/2023
Last updated
12/15/2023
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