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1134769813
ROBERTA LUCKLUM
HURON, SD
NPI
1134769813
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SD 0283)
Enumeration Date
2020-01-10
Last Update Date
2020-01-10
Business Address
ROBERTA LUCKLUM BSPT
172 4TH ST SE
HURON, SD 57350-2590
Phone number: 605-353-6200
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Mailing Address
ROBERTA LUCKLUM BSPT
172 4TH ST SE
HURON, SD 57350-2590
Phone number: 605-353-6200
Copy
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