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1316524374
ELLEN KLUTH
SIOUX FALLS, SD
NPI
1316524374
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SD 0622)
Enumeration Date
2021-03-25
Last Update Date
2021-03-25
Business Address
ELLEN KLUTH MAT, LAT, ATC
6800 S LOUISE AVE
SIOUX FALLS, SD 57108-6026
Phone number: 605-630-8863
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Mailing Address
ELLEN KLUTH MAT, LAT, ATC
8900 W WISEMAN CIR
SIOUX FALLS, SD 57106-4846
Phone number: 605-630-8863
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