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1669440434
CHAD LANE TIESZEN
CANTON, SD
NPI
1669440434
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: SD 912)
Enumeration Date
2006-03-09
Last Update Date
2012-07-25
Business Address
Dr. CHAD LANE TIESZEN DC
128 N DAKOTA ST
CANTON, SD 57013
Phone number: 605-987-5577
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Mailing Address
Dr. CHAD LANE TIESZEN DC
PO BOX 224
CANTON, SD 57013
Phone number: 605-987-5577
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