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1790462125
ALYSA NICHOLE SAMUELSON
SIOUX FALLS, SD
NPI
1790462125
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SD 2638)
Enumeration Date
2023-06-28
Last Update Date
2023-06-28
Business Address
ALYSA NICHOLE SAMUELSON DPT
810 E 23RD ST
SIOUX FALLS, SD 57105-2135
Phone number: 605-322-5150
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Mailing Address
ALYSA NICHOLE SAMUELSON DPT
7904 W 44TH ST
SIOUX FALLS, SD 57106-7212
Phone number: 712-301-6258
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