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Individual

MRS. SANDRA SUE HOPP-EDWARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T/OWNER

Contact information

Practice address
1015 S MAIN ST, MCPHERSON, KS 67460-5735
(620) 241-1825
Mailing address
2378 8TH AVENUE, BOX 187, MARQUETTE, KS 67464-8843
(785) 227-2533

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-00549
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
059740
BLUE CROSS BLUE SHIELD
KS
05
100330590A
KS
Enumeration date
07/20/2005
Last updated
12/06/2012
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