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Individual

ASHLIE LEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 302-2230
Mailing address
167 VELVET DR, CAMDENTON, MO 65020-2093

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2006030620
MO

Other

Enumeration date
03/21/2007
Last updated
07/08/2007
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