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QUANECIA BEASLEY

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1427534676

Individual Registrant:
 QUANECIA  BEASLEY 
Gender: F
Sole Proprietor

Location and contact information for practice:
39200 HOOKER HWY  BELLE GLADE, FL 33430-5368 US
Tel: 561-996-6517  Fax: --

Contact information for business:
39200 HOOKER HWY  BELLE GLADE, FL 33430-5368 US
Tel: --  Fax: --

Registration Information:
NPI: 1427534676
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N390200000XStudent
Organized Health Care Education/Training Program
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
FL6312

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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