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1316371198
TIMOTHY BADGER
TONGANOXIE, KS
NPI
1316371198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: KS 53-76020-122)
Enumeration Date
2013-08-28
Last Update Date
2017-02-22
Business Address
TIMOTHY BADGER APRN
21107 DONAHOO RD
TONGANOXIE, KS 66086-4153
Phone number: 913-742-4084
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Mailing Address
TIMOTHY BADGER APRN
21107 DONAHOO RD
TONGANOXIE, KS 66086-4153
Phone number: 913-742-4084
Copy
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