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1770985160
KIM THANH PETERSON
SIOUX FALLS, SD
NPI
1770985160
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: SD 556PROV)
Enumeration Date
2014-09-17
Last Update Date
2014-09-17
Business Address
-- KIM THANH PETERSON ST
1020 W 18TH ST
SIOUX FALLS, SD 57104-4707
Phone number: 605-444-9700
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Mailing Address
-- KIM THANH PETERSON ST
1020 W 18TH ST
SIOUX FALLS, SD 57104-4707
Phone number: 605-444-9700
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