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1215244041
GREGORY IWAASA
BISMARCK, ND
NPI
1215244041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: PA SC006202)
Enumeration Date
2010-08-31
Last Update Date
2013-09-16
Business Address
-- GREGORY IWAASA DPM
401 N 9TH ST
BISMARCK, ND 58501-4530
Phone number: 701-530-6000
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Mailing Address
-- GREGORY IWAASA DPM
401 N 9TH ST.
BISMARCK, ND 58504-4530
Phone number: 701-530-6000
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