Individual
ALLYSON COBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 SUNSET AVE, MANHATTAN, KS 66502-3894
(847) 924-1901
Mailing address
901 SUNSET AVE, MANHATTAN, KS 66502-3894
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/15/2011
Last updated
05/15/2023
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