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1700339793
AUSTIN TYRELL GRUNDSTAD
RAPID CITY, SD
NPI
1700339793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: SD 0992)
Enumeration Date
2016-07-26
Last Update Date
2023-10-09
Business Address
AUSTIN TYRELL GRUNDSTAD M.S. OTR/L
1635 CAREGIVER CIR
RAPID CITY, SD 57702-8529
Phone number: 605-755-1100
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Mailing Address
AUSTIN TYRELL GRUNDSTAD M.S. OTR/L
1635 CAREGIVER CIR
RAPID CITY, SD 57702-8529
Phone number: 605-755-1100
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