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1780270967
YIA CHANG
MADISON, WI
NPI
1780270967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: WI 194921-30)
Enumeration Date
2020-12-11
Last Update Date
2020-12-11
Business Address
YIA CHANG
907 VALLEY STREAM DR
MADISON, WI 53711-2435
Phone number: 608-334-9750
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Mailing Address
YIA CHANG
907 VALLEY STREAM DR
MADISON, WI 53711-2435
Phone number: 608-334-9750
Copy
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