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1174580377
MAXINE RUTH BEATTY
VIRGINIA BEACH, VA
NPI
1174580377
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Former Name
MAXINE SPOOL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: VA 0101025142)
Enumeration Date
2006-05-01
Last Update Date
2012-09-21
Business Address
Dr. MAXINE RUTH BEATTY MD
1212 LAKE JAMES DR STE C
VIRGINIA BEACH, VA 23464
Phone number: 757-523-4589
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Mailing Address
Dr. MAXINE RUTH BEATTY MD
1212 LAKE JAMES DR STE C
VIRGINIA BEACH, VA 23464
Phone number: 757-523-4589
Copy
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