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1770796799
TERRY WAYNE OLSON
BROOKINGS, SD
NPI
1770796799
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SD 0036)
Enumeration Date
2007-05-07
Last Update Date
2007-07-08
Business Address
Mr. TERRY WAYNE OLSON A.T.C.
530 ELM AVE
BROOKINGS, SD 57006-3427
Phone number: 605-696-4198
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Mailing Address
Mr. TERRY WAYNE OLSON A.T.C.
917 12TH ST S
BROOKINGS, SD 57006-3876
Phone number: 605-697-5051
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