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1477244168
ADYSON MAE INGOLD
WICHITA, KS
NPI
1477244168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-05-15
Last Update Date
2023-05-15
Business Address
ADYSON MAE INGOLD PA
4210 S BOYD ST
WICHITA, KS 67215-2044
Phone number: 308-224-7617
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Mailing Address
ADYSON MAE INGOLD PA
4210 S BOYD ST
WICHITA, KS 67215-2044
Phone number: 308-224-7617
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