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1376603092
TIM WALD
PIERRE, SD
NPI
1376603092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: SD 1343)
Enumeration Date
2006-12-11
Last Update Date
2007-07-08
Business Address
-- TIM WALD
1012 WOODVIEW DR #20
PIERRE, SD 57501
Phone number: 605-224-4443
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Mailing Address
-- TIM WALD
1012 WOODVIEW DR #20
PIERRE, SD 57501
Phone number:
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