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1083350870
MICAH ASTON FORD
GOODFELLOW AFB, TX
NPI
1083350870
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: 1208093)
Enumeration Date
2022-05-05
Last Update Date
2023-07-05
Business Address
MICAH ASTON FORD PA-C
271 RICHARDSON AVE
GOODFELLOW AFB, TX 76908
Phone number: 325-654-3149
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Mailing Address
MICAH ASTON FORD PA-C
271 RICHARDSON AVE
GOODFELLOW AFB, TX 76908
Phone number: 325-654-3149
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