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1336299254
TRYG OLAF ODNEY
SIOUX FALLS, SD
NPI
1336299254
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SD 0092)
Enumeration Date
2007-01-11
Last Update Date
2007-07-08
Business Address
Mr. TRYG OLAF ODNEY ATC
1305 W. 18TH ST
SIOUX FALLS, SD 57117-5039
Phone number: 605-328-1727
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Mailing Address
Mr. TRYG OLAF ODNEY ATC
6809 S AVALON CIR
SIOUX FALLS, SD 57108-4000
Phone number: 605-366-2691
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