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Individual

CLARISSE EKEI EBUA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPTA

Contact information

Practice address
1905 ARAPAHOE CT, GREENWOOD, MO 64034-8636
(816) 204-0836
Mailing address
1905 ARAPAHOE CT, GREENWOOD, MO 64034-8636
(816) 204-0836

Taxonomy

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

Other

Enumeration date
10/25/2011
Last updated
10/25/2011
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