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1255423810
LIAL L KOFOED
FORT MEADE, SD
NPI
1255423810
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0802X Psychiatry & Neurology, Addiction Psychiatry
(Licence: SD 3594)
Enumeration Date
2006-09-29
Last Update Date
2007-07-08
Business Address
-- LIAL L KOFOED MD
113 COMANCHE RD
FORT MEADE, SD 57741-1002
Phone number: 605-720-7000
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Mailing Address
-- LIAL L KOFOED MD
113 COMANCHE RD
FORT MEADE, SD 57741-1002
Phone number:
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