NICHOLAS BROKENLEG

SIOUX FALLS, SD
NPI1821446766
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2016-06-01
Last Update Date2016-06-01
Business Address
Mr. NICHOLAS BROKENLEG
2501 W 22ND ST
SIOUX FALLS, SD 57105-1305
Phone number: 605-336-3230
Mailing Address
Mr. NICHOLAS BROKENLEG
2501 W 22ND ST
SIOUX FALLS, SD 57105-1305
Phone number: 605-336-3230
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