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1689001166
SHANE MERCHANT
TYNDALL, SD
NPI
1689001166
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SD 0887)
Enumeration Date
2013-09-30
Last Update Date
2020-08-25
Business Address
Mr. SHANE MERCHANT PA-C
410 W 16TH AVE
TYNDALL, SD 57066-2318
Phone number: 605-589-2188
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Mailing Address
Mr. SHANE MERCHANT PA-C
410 W 16TH AVE
TYNDALL, SD 57066-2318
Phone number: 605-589-2188
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