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1851607162
KERRY LEANN CLARK
CHETOPA, KS
NPI
1851607162
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KS 14-01713)
Enumeration Date
2010-08-24
Last Update Date
2010-08-24
Business Address
Mrs. KERRY LEANN CLARK
814 WALNUT ST
CHETOPA, KS 67336-8990
Phone number: 620-236-7248
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Mailing Address
Mrs. KERRY LEANN CLARK
1217 S 15TH ST
PARSONS, KS 67357-5125
Phone number: 620-421-2431
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