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Individual

MR. MARK R. BUSBOOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT ASSISTANT

Contact information

Practice address
1000 HOSPITAL DR, MCPHERSON, KS 67460-2326
(620) 241-2250
(620) 241-4603
Mailing address
4500 N KENT RD, BUHLER, KS 67522-8144
(620) 755-2427

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-00879
KS

Other

Enumeration date
03/14/2007
Last updated
07/08/2007
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