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1336427582
WICHITA STATE UNIVERSITY
WICHITA, KS
NPI
1336427582
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Entity Type
Organization
Authorized Contact
JO DENISE CLEPPER
Practice Administrator
316-978-5662
Organization Subpart ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
Enumeration Date
2011-07-21
Last Update Date
2011-07-21
Business Address
WICHITA STATE UNIVERSITY
2838 N. OLIVER
WICHITA, KS 67220-0157
Phone number: 316-978-5662
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Mailing Address
WICHITA STATE UNIVERSITY
1845 FAIRMOUNT ST BOX 157
WICHITA, KS 67260-0043
Phone number: 316-978-5662
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