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1144781691
BETHANY SHAVON SIMS
COVINA, CA
NPI
1144781691
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Former Name
BETHANY KIDD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95008426)
Enumeration Date
2019-03-27
Last Update Date
2019-03-27
Business Address
BETHANY SHAVON SIMS FNP
500 W SAN BERNARDINO RD STE B
COVINA, CA 91722-3797
Phone number: 626-960-2326
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Mailing Address
BETHANY SHAVON SIMS FNP
10000 IMPERIAL HWY APT G108
DOWNEY, CA 90242-3224
Phone number: 951-847-3677
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