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1750890554
ASHTON MAKAILA BERGH
LENEXA, KS
NPI
1750890554
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Former Name
ASHTON MAKAILA SHADFAR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KS 77893)
Enumeration Date
2017-09-25
Last Update Date
2021-09-13
Business Address
ASHTON MAKAILA BERGH FNP - BC, C
10951 LAKEVIEW AVE
LENEXA, KS 66219-1331
Phone number: 913-432-7200
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Mailing Address
ASHTON MAKAILA BERGH FNP - BC, C
3990 W 255TH ST
LOUISBURG, KS 66053-6293
Phone number: 913-548-6230
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