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Individual

DR. MANDANA SHAMSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C

Contact information

Practice address
2020 N WOODLAWN ST, SUITE # 660, WICHITA, KS 67208-1852
(316) 651-5871
(316) 651-5872
Mailing address
2020 N WOODLAWN ST, SUITE # 660, WICHITA, KS 67208-1852
(316) 651-5871
(316) 651-5872

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-04823
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
062042
BCBS
KS
Enumeration date
10/06/2006
Last updated
07/08/2007
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