Individual
AUDELIA EBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1316 COUNTRY CLUB DR, KIRKSVILLE, MO 63501-5362
(660) 627-7546
Mailing address
1316 COUNTRY CLUB DR, KIRKSVILLE, MO 63501-5362
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
09/25/2024
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