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1013342971
LEVI B POLE
VERMILLION, SD
NPI
1013342971
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SD 1699)
Enumeration Date
2013-09-11
Last Update Date
2013-09-11
Business Address
-- LEVI B POLE DPT
1407 E CHERRY ST
VERMILLION, SD 57069-2602
Phone number: 605-624-7246
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Mailing Address
-- LEVI B POLE DPT
1407 E CHERRY ST
VERMILLION, SD 57069-2602
Phone number: 605-624-7246
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