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1912904400
MICHAEL J. COLLERAN
PIERRE, SD
NPI
1912904400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
231H00000X Audiologist
(Licence: SD 33001460445192EUT001)
Enumeration Date
2005-06-30
Last Update Date
2007-07-09
Business Address
Mr. MICHAEL J. COLLERAN MA, CCC-A
633 E SIOUX AVE
PIERRE, SD 57501-3368
Phone number: 605-224-8848
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Mailing Address
Mr. MICHAEL J. COLLERAN MA, CCC-A
633 E SIOUX AVE
PIERRE, SD 57501-3368
Phone number: 605-224-8848
Copy
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