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1881104859
LARRY KAY BRENDTRO
LENNOX, SD
NPI
1881104859
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: MI 6301001648)
Enumeration Date
2017-10-04
Last Update Date
2017-10-04
Business Address
Mr. LARRY KAY BRENDTRO Ph.D.
27843 469TH AVENUE
LENNOX, SD 57039
Phone number: 605-580-9557
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Mailing Address
Mr. LARRY KAY BRENDTRO Ph.D.
P.O. BOX 255
LENNOX, SD 57039
Phone number: 605-580-9557
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