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Individual

BRENT SHUGART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
200 WILLOW RD, HILLSBORO, KS 67063-1939
(620) 947-2301
Mailing address
615 S HICKORY ST, MCPHERSON, KS 67460-5252
(620) 242-6707

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03062
KS

Other

Enumeration date
09/23/2016
Last updated
09/23/2016
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