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1992757348
DAVID FOSSUM
PIERRE, SD
NPI
1992757348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SD 0413)
Enumeration Date
2006-05-16
Last Update Date
2024-03-19
Business Address
Mr. DAVID FOSSUM PAC
101 MERCURY ST
PIERRE, SD 57501-5672
Phone number: 605-891-4839
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Mailing Address
Mr. DAVID FOSSUM PAC
101 MERCURY ST
PIERRE, SD 57501-5672
Phone number: 605-891-4839
Copy
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