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1245301787
MICHAEL SCOTT ELLENDER
RAPID CITY, SD
NPI
1245301787
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: SD T573)
Enumeration Date
2006-11-13
Last Update Date
2007-10-04
Business Address
DR. MICHAEL SCOTT ELLENDER O.D.
1601 MOUNT RUSHMORE RD SUITE 5
RAPID CITY, SD 57701-4588
Phone number: 605-348-7401
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Mailing Address
DR. MICHAEL SCOTT ELLENDER O.D.
1601 MOUNT RUSHMORE RD SUITE 5
RAPID CITY, SD 57701-4588
Phone number: 605-348-7401
Copy
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