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1790723146
CHARLES KILMER
FORT MEADE, SD
NPI
1790723146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SD 0209)
Enumeration Date
2006-06-04
Last Update Date
2007-07-08
Business Address
-- CHARLES KILMER Physician Assistant
113 COMANCHE RD
FORT MEADE, SD 57741-1002
Phone number: 605-720-7069
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Mailing Address
-- CHARLES KILMER Physician Assistant
383 OAK RIDGE RD
SPEARFISH, SD 57783-8663
Phone number: 605-720-7069
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