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1487057311
WISSANEE JIA-MAHASAP
IOWA CITY, IA
NPI
1487057311
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: IA 30421)
Enumeration Date
2014-10-07
Last Update Date
2014-10-07
Business Address
-- WISSANEE JIA-MAHASAP DDS
414 DENTAL SCIENCE BLDG S
IOWA CITY, IA 52242-1001
Phone number: 319-335-7275
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Mailing Address
-- WISSANEE JIA-MAHASAP DDS
322 DENTAL SCIENCE BLDG S
IOWA CITY, IA 52242-1001
Phone number: 319-335-7440
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