LAWRENCE GENE BEAVERS

FAIRBORN, OH
NPI1649813254
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2019-10-26
Last Update Date2021-08-20
Business Address
MR. LAWRENCE GENE BEAVERS
188 W HEBBLE AVE
FAIRBORN, OH 45324-4960
Phone number: 937-971-2350
Mailing Address
MR. LAWRENCE GENE BEAVERS
PO BOX 55
WALTON, KY 41094-0055
Phone number:
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