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1104600204
KELLY JEAN BURKE
HURON, SD
NPI
1104600204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SD 0150)
Enumeration Date
2023-08-21
Last Update Date
2023-08-21
Business Address
KELLY JEAN BURKE PTA
172 4TH ST SE
HURON, SD 57350-2590
Phone number: 605-353-6253
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Mailing Address
KELLY JEAN BURKE PTA
172 4TH ST SE
HURON, SD 57350-2590
Phone number: 605-353-6253
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