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1396342515
VISION SOURCE RAPID CITY
RAPID CITY, SD
NPI
1396342515
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Entity Type
Organization
Authorized Contact
DWAYNE ROBERT ICE
Optometrist
605-343-4703
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
Enumeration Date
2020-10-01
Last Update Date
2020-10-01
Business Address
VISION SOURCE RAPID CITY
825 COLUMBUS ST STE E
RAPID CITY, SD 57701-4804
Phone number: 605-343-4703
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Mailing Address
VISION SOURCE RAPID CITY
825 COLUMBUS ST STE E
RAPID CITY, SD 57701-4804
Phone number: 605-343-4703
Copy
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