CHAD URBAN

SIOUX FALLS, SD
NPI1902931470
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SD  060002526)
Enumeration Date2007-02-23
Last Update Date2007-07-08
Business Address
-- CHAD URBAN ATC
1305 W 18TH ST
SIOUX FALLS, SD 57105-0401
Phone number: 605-328-1759
Mailing Address
-- CHAD URBAN ATC
5008 W EQUESTRIAN PL APT 413
SIOUX FALLS, SD 57106-6110
Phone number:
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