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1730116237
JERRY R NOSSAMAN
LAWRENCE, KS
NPI
1730116237
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: KS 4549)
Enumeration Date
2006-06-28
Last Update Date
2007-07-08
Business Address
-- JERRY R NOSSAMAN D.D.S.
831 VERMONT ST
LAWRENCE, KS 66044-2665
Phone number: 785-843-6060
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Mailing Address
-- JERRY R NOSSAMAN D.D.S.
1116 WEST HILLS PKWY
LAWRENCE, KS 66044
Phone number: 785-842-7181
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