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Beverly Clark
NPI 1780452094 · on the registry since 2023 · sole proprietor
Practice
- Address
- 321 Lintz Hollow Left Fork Rd
Lucasville, OH 45648 - Phone
- (740) 259-3037
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-12-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio