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Individual

BEVERLY ANN SAMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
437 S WOODLAWN AVE, LIMA, OH 45805-3166
(567) 825-6107
Mailing address
437 S WOODLAWN AVE, LIMA, OH 45805-3166
(567) 825-6107

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN098830
OH

Other

Enumeration date
04/08/2014
Last updated
04/08/2014
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