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1144494717
TODD ANTHONY RIDGE
WICHITA, KS
NPI
1144494717
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: TX 610160)
Enumeration Date
2008-04-15
Last Update Date
2020-01-15
Business Address
TODD ANTHONY RIDGE ANP
5500 E KELLOGG DR
WICHITA, KS 67218-1607
Phone number: 888-878-6881
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Mailing Address
TODD ANTHONY RIDGE ANP
5500 E KELLOGG DR
WICHITA, KS 67218-1607
Phone number: 888-878-6881
Copy
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