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Individual

RANDALL FOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
707 N EMPORIA ST, WICHITA, KS 67214-3707
(316) 858-3524
Mailing address
707 N EMPORIA ST, WICHITA, KS 67214-3707
(316) 858-3524

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
11/04/2014
Last updated
11/04/2014
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