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1770714297
ANDREA BEAVEN
LOUISVILLE, KY
NPI
1770714297
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: KY 20091515)
Enumeration Date
2009-07-31
Last Update Date
2009-07-31
Business Address
-- ANDREA BEAVEN
600 S PRESTON ST
LOUISVILLE, KY 40202-1716
Phone number: 502-589-8600
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Mailing Address
-- ANDREA BEAVEN
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202-1423
Phone number:
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