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Individual

MS. BEVERLY FAITH-ANN TIPTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
4711 WALNUT RD, BUCKEYE LAKE, OH 43008-7773
(740) 334-9343
Mailing address
PO BOX 227, BUCKEYE LAKE, OH 43008-0227
(740) 334-9343

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.087233
OH

Other

Enumeration date
04/17/2013
Last updated
04/17/2013
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