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1417212010
JOHANNA LEE BEVILLE
BRADENTON, FL
NPI
1417212010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-07-10
Last Update Date
2016-05-12
Business Address
-- JOHANNA LEE BEVILLE BA
379 6TH AVE W
BRADENTON, FL 34205-8820
Phone number: 941-782-4100
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Mailing Address
-- JOHANNA LEE BEVILLE BA
PO BOX 9478
BRADENTON, FL 34206-9478
Phone number: 941-782-4299
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