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1154527018
KATINA RENE BEVERLY
MONROE, LA
NPI
1154527018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: LA 5856)
Enumeration Date
2007-06-26
Last Update Date
2008-11-13
Business Address
Dr. KATINA RENE BEVERLY D.D.S.
1203 N 5TH ST
MONROE, LA 71201-5317
Phone number: 318-805-9000
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Mailing Address
Dr. KATINA RENE BEVERLY D.D.S.
1203 N 5TH ST
MONROE, LA 71201-5317
Phone number: 318-805-9000
Copy
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