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Organization

KJ HEARING LLC

Active
Other names
Jasa Hearing
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN JASA HIS (OWNER / HIS)
(515) 499-4302
Entity
Organization

Contact information

Practice address
116 1ST AVE N, STE C, ALTOONA, IA 50009-1425
(515) 499-4302
Mailing address
116 1ST AVE N, STE C, ALTOONA, IA 50009-1425
(515) 499-4302

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
000944
IA
305S00000X
Point of Service
Primary
000944
IA

Other

Enumeration date
05/02/2017
Last updated
05/02/2017
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