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1952087488
JOHN PAUL MICLAT
CUSTER, SD
NPI
1952087488
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SD 2651)
Enumeration Date
2023-06-27
Last Update Date
2023-06-27
Business Address
JOHN PAUL MICLAT PT
1369 MONTGOMERY ST
CUSTER, SD 57730-8246
Phone number: 605-787-2719
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Mailing Address
JOHN PAUL MICLAT PT
245 MONTGOMERY ST
CUSTER, SD 57730-1019
Phone number: 347-952-3307
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