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1124005400
KENNETH ALLEN BEAVERS
COLUMBUS, OH
NPI
1124005400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: OH 4271)
Enumeration Date
2005-12-28
Last Update Date
2007-07-08
Business Address
Dr. KENNETH ALLEN BEAVERS PhD
1115 BETHEL RD
COLUMBUS, OH 43220-2690
Phone number: 614-459-3003
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Mailing Address
Dr. KENNETH ALLEN BEAVERS PhD
1115 BETHEL RD
COLUMBUS, OH 43220-2690
Phone number: 614-459-3003
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