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1447318217
BRYAN CLARK HAIVALA
SPEARFISH, SD
NPI
1447318217
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2006-12-05
Last Update Date
2007-07-08
Business Address
-- BRYAN CLARK HAIVALA PT
1440 N MAIN ST
SPEARFISH, SD 57783-1505
Phone number: 605-644-4000
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Mailing Address
-- BRYAN CLARK HAIVALA PT
PO BOX 3450
RAPID CITY, SD 57709
Phone number: 605-644-4000
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