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1437675949
THOMAS CHARLES INGERSOLL
BUCKLEY SFB, CO
NPI
1437675949
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2017-08-16
Last Update Date
2023-11-14
Business Address
THOMAS CHARLES INGERSOLL
275 SOUTH ASPEN ST, STOP 89
BUCKLEY SFB, CO 80011
Phone number: 720-847-7404
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Mailing Address
THOMAS CHARLES INGERSOLL
6900 ALDEN DR
FE WARREN AFB, WY 82005-3906
Phone number: 307-773-3840
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