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1376916908
JOHN CARLSON
RAPID CITY, SD
NPI
1376916908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: SD 1107)
Enumeration Date
2015-11-04
Last Update Date
2015-11-04
Business Address
JOHN CARLSON
915 MT VIEW RD
RAPID CITY, SD 57702-3414
Phone number: 605-755-7200
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Mailing Address
JOHN CARLSON
915 MT VIEW RD
RAPID CITY, SD 57702-3414
Phone number: 605-755-7200
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