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1407154909
SAMANTHA DAISY OLSON
IRENE, SD
NPI
1407154909
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SD 0313)
Enumeration Date
2011-03-07
Last Update Date
2019-07-22
Business Address
SAMANTHA DAISY OLSON PTA
129 E CLAY ST
IRENE, SD 57037-2034
Phone number: 605-263-3318
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Mailing Address
SAMANTHA DAISY OLSON PTA
1004 E 18TH ST
YANKTON, SD 57078-2415
Phone number: 605-690-7269
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