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1922258425
JAMIE MICHAEL BOOMGARDEN
SIOUX FALLS, SD
NPI
1922258425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SD 0561)
Enumeration Date
2008-09-22
Last Update Date
2008-09-22
Business Address
MR. JAMIE MICHAEL BOOMGARDEN P.T.
800 E 21ST ST
SIOUX FALLS, SD 57105-1016
Phone number: 605-322-5000
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Mailing Address
MR. JAMIE MICHAEL BOOMGARDEN P.T.
27348 461ST AVE
CHANCELLOR, SD 57015-5703
Phone number: 605-647-5338
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