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Individual

LOREN R GRAVES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
1902 SOUTH HIGHWAY 59, PARSONS, KS 67357
(620) 421-4881
Mailing address
1902 SOUTH HIGHWAY 59, PARSONS, KS 67357

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1701745
KS

Other

Enumeration date
05/23/2007
Last updated
07/08/2007
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