RICHARD BOMGARDNER

WICHITA, KS
NPI1912365792
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KS  24-00424)
Enumeration Date2016-02-08
Last Update Date2016-02-08
Business Address
-- RICHARD BOMGARDNER ATC
1845 FAIRMOUNT ST
WICHITA, KS 67260-0016
Phone number: 316-978-5981
Mailing Address
-- RICHARD BOMGARDNER ATC
3147 N INWOOD ST
WICHITA, KS 67226-2206
Phone number: 316-978-5981
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