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1003273590
PATTY BEAVER
LOMA LINDA, CA
NPI
1003273590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: PR 11742)
Enumeration Date
2016-01-28
Last Update Date
2022-10-20
Business Address
PATTY BEAVER LSW
11201 BENTON ST
LOMA LINDA, CA 92357-5703
Phone number: 909-674-2794
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Mailing Address
PATTY BEAVER LSW
11201 BENTON ST
LOMA LINDA, CA 92357-1000
Phone number: 909-674-2794
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