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1881632032
FREDERICK GOOD
WICHITA, KS
NPI
1881632032
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
146N00000X Emergency Medical Technician, Basic
(Licence: KS 05-18516)
Enumeration Date
2006-06-02
Last Update Date
2008-02-05
Business Address
-- FREDERICK GOOD DO
3600 E HARRY ST
WICHITA, KS 67218-3713
Phone number: 316-689-5775
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Mailing Address
-- FREDERICK GOOD DO
PO BOX 42917
PHILADELPHIA, PA 19101-2917
Phone number: 800-355-0808
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