LYNELLE HAGEDORN

WHITE, SD
NPI1619378957
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: SD  279A)
Enumeration Date2014-09-05
Last Update Date2014-09-05
Business Address
-- LYNELLE HAGEDORN
20440 476TH AVE
WHITE, SD 57276-5914
Phone number: 605-629-8841
Mailing Address
-- LYNELLE HAGEDORN
20440 476TH AVE
WHITE, SD 57276-5914
Phone number: 605-629-8841