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1407419237
GINA M BECKFORD
LOUISVILLE, KY
NPI
1407419237
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY 3013252)
Enumeration Date
2019-04-17
Last Update Date
2019-06-19
Business Address
GINA M BECKFORD
3015 WILSON AVE
LOUISVILLE, KY 40211
Phone number: 502-774-4401
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Mailing Address
GINA M BECKFORD
3015 WILSON AVE
LOUISVILLE, KY 40211-1969
Phone number: 502-774-4401
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