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1053911123
TYSON DAVID ALLEN
DAKOTA DUNES, SD
NPI
1053911123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: IA 106522)
Enumeration Date
2020-10-28
Last Update Date
2021-01-26
Business Address
TYSON DAVID ALLEN
575 N SIOUX POINT RD
DAKOTA DUNES, SD 57049-5312
Phone number: 605-217-2667
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Mailing Address
TYSON DAVID ALLEN
575 N SIOUX POINT RD
DAKOTA DUNES, SD 57049-5312
Phone number: 605-217-2667
Copy
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