JOHN PAUL MICLAT

CUSTER, SD
NPI1952087488
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: SD  2651)
Enumeration Date2023-06-27
Last Update Date2023-06-27
Business Address
JOHN PAUL MICLAT PT
1369 MONTGOMERY ST
CUSTER, SD 57730-8246
Phone number: 605-787-2719
Mailing Address
JOHN PAUL MICLAT PT
245 MONTGOMERY ST
CUSTER, SD 57730-1019
Phone number: 347-952-3307
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