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Individual

ROWENA LYNETTE CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
700 MONTEREY PL, HUTCHINSON, KS 67502-2266
(620) 664-6219
(620) 663-3133
Mailing address
420 MINCER AVE, STAFFORD, KS 67578-1208
(620) 234-5721
(620) 234-5721

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18-00071
KS

Other

Enumeration date
03/22/2007
Last updated
07/08/2007
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