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1881808194
CHAD JOSEPH GROTEWOLD
SIOUX FALLS, SD
NPI
1881808194
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: SD 0111)
Enumeration Date
2007-05-09
Last Update Date
2007-07-08
Business Address
CHAD JOSEPH GROTEWOLD MA, ATC, CSCS
810 E 23RD ST
SIOUX FALLS, SD 57105-2135
Phone number: 605-977-6845
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Mailing Address
CHAD JOSEPH GROTEWOLD MA, ATC, CSCS
PO BOX 124
LARCHWOOD, IA 51241-0124
Phone number: 712-477-2297
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