KATHRINE IDES

CUSTER, SD
NPI1477729093
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: SD  0609)
Enumeration Date2008-05-03
Last Update Date2008-05-03
Business Address
-- KATHRINE IDES RPT
1039 MONTGOMERY ST
CUSTER, SD 57730-1304
Phone number: 605-673-2229
Mailing Address
-- KATHRINE IDES RPT
PO BOX 3450
RAPID CITY, SD 57709-3450
Phone number: 605-673-2229
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