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1376929000
JACOB LYNGAAS
HURON, SD
NPI
1376929000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SD 0988)
Enumeration Date
2015-08-04
Last Update Date
2015-08-04
Business Address
JACOB LYNGAAS MPA, PA-C
172 4TH ST SE
HURON, SD 57350-2510
Phone number: 605-353-6200
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Mailing Address
JACOB LYNGAAS MPA, PA-C
PO BOX 510
BRITTON, SD 57430-0510
Phone number: 605-470-0559
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