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1245106467
VLADIK JOHNSON
BURKE, SD
NPI
1245106467
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SD 6115)
Enumeration Date
2025-10-14
Last Update Date
2025-10-14
Business Address
VLADIK JOHNSON
428 E 13TH ST
BURKE, SD 57523-2020
Phone number: 605-208-1832
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Mailing Address
VLADIK JOHNSON
428 E 13TH ST
BURKE, SD 57523-2020
Phone number: 605-208-1832
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