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1881112753
LUCAS JOHN MIKKELSEN
SIOUX FALLS, SD
NPI
1881112753
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2017-08-31
Last Update Date
2017-08-31
Business Address
Mr. LUCAS JOHN MIKKELSEN PA-C
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104-4651
Phone number: 605-328-2663
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Mailing Address
Mr. LUCAS JOHN MIKKELSEN PA-C
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104-4651
Phone number:
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