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APPLICATION FOR MEMBERSHIP MEDICAL SOCIETY OF SEDGWICK COUNTY & KANSAS MEDICAL SOCIETY NAME: ___ FirstMiddleLastMD/PRACTICE NAME: ___ OFFICE ADDRESS: ___ Street AddressCityOFFICE PHONE: ___StateZipOFFICE

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Medical Society of Sedgwick is an organization that facilitates healthcare professionals in Sedgwick County.

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To fill out Medical Society of Sedgwick, healthcare professionals need to provide information about their practice, qualifications, and any activities related to the medical field.

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Information such as name, specialty, contact details, qualifications, and any relevant professional activities must be reported on Medical Society of Sedgwick.

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