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Individual

MASON COCHRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
1111 N KENTUCKY AVE, WEST PLAINS, MO 65775-2028
(417) 257-5959
Mailing address
5920 PRIVATE ROAD 1604, WEST PLAINS, MO 65775-5371
(417) 372-3614

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2023028649
MO

Other

Enumeration date
08/09/2023
Last updated
08/09/2023
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