Individual
AMANDA HABERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 E 17TH, LARNED, KS 67550
(620) 804-2148
Mailing address
201 E 17TH, LARNED, KS 67550
(620) 804-2148
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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