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1861114654
ANDREA BODWELL
WICHITA, KS
NPI
1861114654
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
Additional Taxonomies
124Q00000X Dental Hygienist
(Licence: KS 11111)
Enumeration Date
2022-09-19
Last Update Date
2024-07-05
Business Address
ANDREA BODWELL RDH
123 N TYLER RD STE 100
WICHITA, KS 67212-3726
Phone number: 316-640-9049
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Mailing Address
ANDREA BODWELL RDH
2926 N WILD ROSE CT
WICHITA, KS 67205-1638
Phone number: 316-640-9049
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