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Individual

ACACIA CLOBES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
810 E 30TH AVE, HUTCHINSON, KS 67502-4340
(620) 663-1189
Mailing address
2433 BRENTWOOD ST, HUTCHINSON, KS 67502-5017
(620) 899-0143

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
T-06051
KS

Other

Enumeration date
10/02/2023
Last updated
10/02/2023
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