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1144495169
WICHITA STATE UNIVERSITY
WICHITA, KS
NPI
1144495169
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Entity Type
Organization
Authorized Contact
DENISE MASEMAN
Chairperson
316-978-3614
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: KS 5482)
Enumeration Date
2008-04-30
Last Update Date
2008-04-30
Business Address
WICHITA STATE UNIVERSITY
1845 FAIRMOUNT ST
WICHITA, KS 67260-9700
Phone number: 316-978-3614
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Mailing Address
WICHITA STATE UNIVERSITY
12105 NANTUCKET ST
WICHITA, KS 67235-1224
Phone number: 316-721-9885
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