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1891988804
KELLI DAWN GRISMER
WATERTOWN, SD
NPI
1891988804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SD 0169)
Enumeration Date
2007-08-22
Last Update Date
2007-08-22
Business Address
Mrs. KELLI DAWN GRISMER PTA
215 2ND ST NE
WATERTOWN, SD 57201-2512
Phone number: 605-882-3724
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Mailing Address
Mrs. KELLI DAWN GRISMER PTA
215 2ND ST NE
WATERTOWN, SD 57201-2512
Phone number: 605-882-3724
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