Individual
REBECCA CLOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
32 W MAIN ST, CHANUTE, KS 66720-1701
(620) 431-0010
Mailing address
401 S HIGHLAND AVE, CHANUTE, KS 66720-2409
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2217
KS
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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