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Individual

ASHLEY KLUG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3535 S NATIONAL AVE, SPRINGFIELD, MO 65807-7310
(417) 942-8109
Mailing address
701 E WATERMILL CIR, OZARK, MO 65721-8651

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2012012473
MO

Other

Enumeration date
07/27/2021
Last updated
07/27/2021
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