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Individual

MARY KLOEPPEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
913 W NEWTON ST, VERSAILLES, MO 65084-1811
(573) 378-4231
Mailing address
1115 FAIRGROUNDS RD, JEFFERSON CITY, MO 65109-5443

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
112992
MO

Other

Enumeration date
11/27/2023
Last updated
11/27/2023
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