JASON MATTHEW KINGSBURY

RAPID CITY, SD
NPI1598028862
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: SD  0377)
Enumeration Date2012-06-20
Last Update Date2012-06-20
Business Address
Mr. JASON MATTHEW KINGSBURY R.D. L.N.
353 FAIRMONT BLVD
RAPID CITY, SD 57701-7375
Phone number: 605-719-8251
Mailing Address
Mr. JASON MATTHEW KINGSBURY R.D. L.N.
3604 SQUIRE LN
RAPID CITY, SD 57702-0523
Phone number: 402-350-4624
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