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1407815970
MYRON P SORESTAD
RAPID CITY, SD
NPI
1407815970
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SD 0562)
Enumeration Date
2006-03-22
Last Update Date
2011-12-03
Business Address
-- MYRON P SORESTAD R.P.T.
4141 5TH ST
RAPID CITY, SD 57701-6021
Phone number: 605-399-9565
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Mailing Address
-- MYRON P SORESTAD R.P.T.
4141 5TH ST
RAPID CITY, SD 57701-6021
Phone number: 605-399-9565
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